Maranda Clark, PT

NPI #1760566715 in Hohenwald, Tennessee

Provider Information

NPI Number: 1760566715
Entity Type: Individual
Name: Maranda Clark, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 119 KITTRELL ST
City: Hohenwald
State: Tennessee
ZIP Code: 38462-1364
Phone: (931) 796-3233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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