Individual
ASHLEY VICTORIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 SPRINGHOUSE CIR, STONE MOUNTAIN, GA 30087-6741
(678) 684-3800
Mailing address
1274 ELMHURST CIR SE, ATLANTA, GA 30316-2726
(404) 494-0721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004397
GA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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