Individual
MRS. KATIE JO CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
801 N LOGAN AVE, DANVILLE, IL 61832-3715
(217) 443-3106
(217) 443-3187
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004433A
IN
225200000X
Physical Therapy Assistant
Primary
160004650
IL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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