Faith Clark, LPTA

NPI #1346699212 in Waterloo, Illinois

Provider Information

NPI Number: 1346699212
Entity Type: Individual
Name: Faith Clark, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jun 10, 2016
Last Updated: Dec 15, 2021

Practice Location

Address: 623 HAMACHER ST
City: Waterloo
State: Illinois
ZIP Code: 62298-1786
Phone: (618) 420-3164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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