Individual
MARY CLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E M 36, STE A, PINCKNEY, MI 48169-8311
(734) 648-0138
(734) 348-0140
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003854
MI
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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