Angelique Clark, ATC
NPI #1659719938 in Park Rapids, Minnesota
Provider Information
- NPI Number
- 1659719938
- Entity Type
- Individual
- Name
- Angelique Clark, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 10, 2013
- Last Updated
- Jun 10, 2013
Practice Location
- Address
- 600 PLEASANT AVENUE
- City
- Park Rapids
- State
- Minnesota
- ZIP Code
- 56470
- Phone
- (218) 616-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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