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NPI Code Detail

MEDICARE: LARKIN CLEMENT DPT, PT

MEDICARE: LARKIN CLEMENT DPT, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistVA

General Provider Information

NPI Number : 1669307328
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARKIN CLEMENT DPT, PT
Provider Business Mailing Address
First Line : 12701 FAIR LAKES CIR STE 102
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4913
Country : US
Telephone Number : 571-351-5618
Fax Number : 571-351-5619
Provider Business Practice Location Address
First Line : 10517 BRADDOCK RD STE D
Second Line :
City : FAIRFAX
State : VA
Zip : 22032-2275
Country : US
Telephone Number : 571-351-5618
Fax Number : 571-351-5619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ LARKIN CLEMENT DPT, PT” Practice Location

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