Individual
KIMBERLY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3800 RIVER RUN DR STE 102, MOUNTAIN BRK, AL 35243-4719
(205) 970-2350
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9722
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH9722
LICENSE
AL
Enumeration date
02/06/2020
Last updated
08/31/2022
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