Individual
CONNIE CLARK
Active
Individual
CONNIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP001210T
NH
225100000X
Physical Therapist
PTL.0015088
CO
225100000X
Physical Therapist
Primary
—
TX
Other
Enumeration date
06/05/2018
Last updated
12/21/2023
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