Individual
MARA JAYNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
606 NW 7TH ST, POCAHONTAS, IA 50574-1099
(712) 335-3501
Mailing address
40162 170TH AVE, LAURENS, IA 50554-8658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
134060
IA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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