Andrea Clark, PT

NPI #1114359049 in Albany, California

Provider Information

NPI Number: 1114359049
Entity Type: Individual
Name: Andrea Clark, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 2, 2013
Last Updated: Aug 2, 2013

Practice Location

Address: 531 MADISON ST
City: Albany
State: California
ZIP Code: 94706-1116
Phone: (510) 847-1496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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