Individual
KAREN L. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3797 SUMMIT GLEN RD, DAYTON, OH 45449-3661
(937) 436-6155
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.00713
OH
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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