Individual
JESSICA TAYLOR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
800 PEACHTREE ST NE STE E2, ATLANTA, GA 30308-1245
(404) 254-3319
(404) 600-6092
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014643
GA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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