IndividualActive
James Clark, C.M.T.
NPI 1972712834 · Contractor · Laurel, MD
Provider details
- NPI number
- 1972712834
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- C.M.T.
- Sex
- Male
- Sole proprietor
- No
- License
- M01789 (MD)
Specialties & taxonomies
Other Service Providers
Practice location
13629 Baltimore Ave
Laurel, MD 20707-5095
Phone: (301) 617-0163
Fax: (301) 617-0165
Approximate (ZIP-level) locationGet directions
Mailing address
5107 Martin Dr
Oxon Hill, MD 20745-3755
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.