Jessica Lynn Clark, PT
NPI #1063757003 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1063757003
- Entity Type
- Individual
- Name
- Jessica Lynn Clark, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Dec 3, 2012
- Last Updated
- Dec 3, 2012
Practice Location
- Address
- 1705 CHRISTY DR
- Address 2
- SUITE 200
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5195
- Phone
- (573) 659-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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