Individual
EMILY ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10631 DIXIE HWY, LOUISVILLE, KY 40272-4349
(502) 937-1777
(502) 933-7722
Mailing address
8008 MANSLICK RD, LOUISVILLE, KY 40214-5563
(502) 428-9988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005506
KY
Other
Enumeration date
10/28/2009
Last updated
01/30/2019
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