MRS. Marie D Clark, PTA

NPI #1518152685 in Gallatin, Missouri

Provider Information

NPI Number: 1518152685
Entity Type: Individual
Name: MRS. Marie D Clark, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 11, 2007
Last Updated: Sep 11, 2007

Practice Location

Address: 1337 W GRAND ST
City: Gallatin
State: Missouri
ZIP Code: 64640-8320
Phone: (660) 663-2197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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