Individual
KAITLEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
1266 SE WINDSONG DR, CASCADE LOCKS, OR 97014-6693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64532
OR
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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