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MRS. KETA O'NEAL CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-1902
(802) 847-7963
Mailing address
790 COLLEGE PARKWAY, COLCHESTER, VT 05446
(802) 847-0641
(802) 847-7963

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003350
VT

Other

Enumeration date
06/12/2006
Last updated
07/30/2020
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