Brooke Marie Clark, PTA

NPI #1790003911 in Corry, Pennsylvania

Provider Information

NPI Number: 1790003911
Entity Type: Individual
Name: Brooke Marie Clark, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: May 12, 2010
Last Updated: Dec 2, 2015

Practice Location

Address: 640 WORTH STREET
City: Corry
State: Pennsylvania
ZIP Code: 16407-8515
Phone: (814) 664-9606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Physical Therapist	225100000X	Primary

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