Individual
DR. JESSICA NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13199 E MONTVIEW BLVD STE 100, AURORA, CO 80045-7202
(303) 724-1510
Mailing address
15832 E OTERO CIR, CENTENNIAL, CO 80112-4778
(202) 412-1754
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0018095
CO
2251P0200X
Pediatric Physical Therapist
1297848
TX
Other
Enumeration date
07/06/2016
Last updated
02/08/2022
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