Individual
JANET I. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
185 CRESTLINE AVE., KALISPELL, MT 59901
(406) 752-9622
(406) 752-9602
Mailing address
680 CRESTWOOD CT # B, WHITEFISH, MT 59937-3459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
691
MT
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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