Individual
AMY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6037 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-9891
(817) 370-9894
Mailing address
6037 HARRIS PKWY, FORT WORTH, TX 76132-4103
(817) 370-9891
(817) 370-9894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1151652
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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