Individual
RACHEL LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2121 PIONEER DR, BELOIT, WI 53511-3025
(608) 365-9526
Mailing address
2312 PARKMEADOW DR, BELOIT, WI 53511-2391
(608) 289-1872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
907-19
WI
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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