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Individual

MS. EMILY MARIE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT,DPT

Contact information

Practice address
3121 E 10TH ST, JEFFERSONVILLE, IN 47130-7222
(812) 812-2039
Mailing address
3121 E 10TH ST, JEFFERSONVILLE, IN 47130-7222
(812) 218-8039
(812) 944-1458

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010730A
IN

Other

Enumeration date
02/21/2012
Last updated
01/12/2023
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