MEDICARE: LISA CATHERINE CLARK PT, DPT

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
1	225100000X	Physical Therapist	PT022087	PA

General Provider Information

NPI Number	:	1447506670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA CATHERINE CLARK PT, DPT

Provider Business Mailing Address
First Line	:	3 W GLEN CIR
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-4713
Country	:	US
Telephone Number	:	484-988-1668
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 AUDUBON VILLAGE DR
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-2262
Country	:	US
Telephone Number	:	610-676-0411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2012
Last Update Date	:	07/25/2012

Similar Medicare Providers

1114985074 — MR. JOHN THOMAS WATERS JR. PT
Practice Location Address:

2804 AUDUBON VILLAGE DR
NORRISTOWN, PA
19403-2262

Practice Phone: 610-676-0411
Practice Fax: 610-676-0412

1083811723 — MISS RIANE M TOLBERT A.T.C.
Practice Location Address:

2804 AUDUBON VILLAGE DR
NORRISTOWN, PA
19403-2262

Practice Phone: 610-676-0411
Practice Fax:

1184957631 — CHRISTINA CARROLL ATC
Practice Location Address:

2804 AUDUBON VILLAGE DR
NORRISTOWN, PA
19403-2262

Practice Phone: 610-676-0411
Practice Fax: 610-676-0412

1477510303 — GARRET M GIANNI ATC
Practice Location Address:

2804 AUDUBON VILLAGE DR
AUDUBON, PA
19403-2262

Practice Phone: 610-676-0411
Practice Fax:

1649344862 — DR. PAUL RYAN
Practice Location Address:

2816 AUDUBON VILLAGE DR
AUDUBON, PA
19403-2262

Practice Phone: 610-650-9124
Practice Fax: 610-650-9125

1891037321 — DR. SPECS OPTICAL, PC
Practice Location Address:

2816 AUDUBON VILLAGE DR
AUDUBON, PA
19403-2262

Practice Phone: 610-650-9124
Practice Fax: 610-650-9125

Directions to “ LISA CATHERINE CLARK PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.