Individual
AUDREY ANN CLARK
Active
Individual
AUDREY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
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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