Provider Demographics
NPI:1073715207
Name:CLARKE, TAMAR BETH (PT)
Entity Type:Individual
Prefix:MS
First Name:TAMAR
Middle Name:BETH
Last Name:CLARKE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22455 ARCADIA CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5548
Mailing Address - Country:US
Mailing Address - Phone:561-417-3345
Mailing Address - Fax:
Practice Address - Street 1:851 MEADOWS RD
Practice Address - Street 2:SUITE 213
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2348
Practice Address - Country:US
Practice Address - Phone:561-392-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist