Individual
MRS. VANESSA YOUNG CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12047 LAKE ESTATES AVE, BATON ROUGE, LA 70810-7323
(225) 761-0828
Mailing address
12047 LAKE ESTATES AVE, BATON ROUGE, LA 70810-7323
(225) 761-0828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03158
LA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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