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Individual

TAYLOR NICOLE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 HOSPITAL DR, OAKDALE, LA 71463-3043
(337) 336-1941
Mailing address
1291 ELMUS D RD, VILLE PLATTE, LA 70586-8122
(337) 336-1941

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10085
LA

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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