Susan L Clark, ASSOCIATES DEGREE
NPI #1023313640 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1023313640
- Entity Type
- Individual
- Name
- Susan L Clark, ASSOCIATES DEGREE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- ASSOCIATES DEGREE
- Enumeration Date
- Jan 12, 2011
- Last Updated
- Jan 12, 2011
Practice Location
- Address
- 3019 COIT AVE NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49505-3376
- Phone
- (616) 365-7761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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