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Individual

BRIDGET CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
13805 RESEARCH BLVD STE 150, AUSTIN, TX 78750-1400
(512) 996-0441
(512) 996-0442
Mailing address
13805 RESEARCH BLVD STE 140, AUSTIN, TX 78750-1385
(512) 996-0441

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1137495
TX

Other

Enumeration date
08/23/2006
Last updated
07/29/2009
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