Celina Clark, PTA

NPI #1578938841 in Wyandotte, Michigan

Provider Information

NPI Number: 1578938841
Entity Type: Individual
Name: Celina Clark, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 273 RIVERBANK ST
City: Wyandotte
State: Michigan
ZIP Code: 48192-2625
Phone: (734) 286-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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