MRS. Sandra A Clark, D.C.

NPI #1861423527 in La Porte, Indiana

Provider Information

NPI Number: 1861423527
Entity Type: Individual
Name: MRS. Sandra A Clark, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 5, 2006
Last Updated: Jan 13, 2014

Practice Location

Address: 6646 W JOHNSON RD
City: La Porte
State: Indiana
ZIP Code: 46350-8243
Phone: (866) 932-9630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Chiropractor - Pediatric Chiropractor — Pediatric Chiropractor	111NP0017X

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