Individual
MARY LE ARA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
701 FRONTAGE ROAD, POPLAR, MT 59255
(406) 768-6040
Mailing address
PO BOX 8, WOLF POINT, MT 59201-0008
(406) 650-4842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-32843
MT
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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