License holder summary

STACIE LYN CLARK is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for STACIE LYN CLARK is Hadley PA 16130. This licensed professional license is current. The license was granted 02/27/2009 and expired on 12/31/2016.

Pennsylvania

Department of State

STACIE LYN CLARK
Direct Access Authorization - Physical Therapy
License number
DAPT001882
Date granted
02/27/2009
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Hadley PA 16130
palicensing.org
ID 17276272
LAST UPDATED 2024-05-13 01:16:12 UTC

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