Individual
JESSICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
68 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 418-1050
Mailing address
68 SWEETEN CREEK RD, ASHEVILLE, NC 28803-2318
(828) 418-1050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10795
NC
Other
Enumeration date
11/06/2006
Last updated
11/01/2007
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