Individual
MRS. CARRIE LEIGH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
7985 KNIGHT RD, GAINESVILLE, GA 30506-6427
(770) 781-4899
Mailing address
7535 BEECHWOOD LN, GAINESVILLE, GA 30506-7043
(770) 887-4977
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT007762
GA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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