MRS. Deborah Ann Clark

NPI #1245214733 in Moody a F B, Georgia

Provider Information

NPI Number: 1245214733
Entity Type: Individual
Name: MRS. Deborah Ann Clark
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Enumeration Date: Nov 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 347TH MEDICAL GROUP
Address 2: 3278 MITCHELL BLVD
City: Moody a F B
State: Georgia
ZIP Code: 31699-0001
Phone: (229) 257-5877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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