Vicki Clark, P.T.

NPI #1972990349 in Bethel, Connecticut

Provider Information

NPI Number: 1972990349
Entity Type: Individual
Name: Vicki Clark, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 13 PARK LAWN DR
City: Bethel
State: Connecticut
ZIP Code: 06801-1043
Phone: (203) 830-4180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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