Individual
ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 ISLAND DR, HENDERSONVILLE, TN 37075-4544
(615) 714-9224
Mailing address
125 ISLAND DR, HENDERSONVILLE, TN 37075-4544
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5559
TN
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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