Individual
SAMANTHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2530 BROADWAY AVE N, ROCHESTER, MN 55906-3968
(507) 259-7570
Mailing address
2530 BROADWAY AVE N, ROCHESTER, MN 55906-3968
(507) 259-7570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13715
MN
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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