Amanda J Clark, PT
NPI #1043554256 in Bloomington, Indiana
Provider Information
- NPI Number
- 1043554256
- Entity Type
- Individual
- Name
- Amanda J Clark, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Feb 16, 2015
Practice Location
- Address
- 1312 W ARCH HAVEN AVE BLDG 1320
- Address 2
- SUITE E
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2089
- Phone
- (812) 336-8406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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