Individual
MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 514-6656
Mailing address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 514-6656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1518624
WI
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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