Individual
AUDREY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
252 W MAIN ST STE E, SAINT CLAIRSVILLE, OH 43950-1065
(740) 296-5042
(740) 296-5320
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(304) 917-3667
(304) 917-3674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP008400T
WV
225100000X
Physical Therapist
CP015162T
WV
225100000X
Physical Therapist
Primary
PT014631
OH
Other
Enumeration date
02/20/2017
Last updated
10/10/2023
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