Individual
CAITLIN MORIAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1995 N PARK PL SE STE 410, ATLANTA, GA 30339-2072
(770) 850-0390
Mailing address
1995 N PARK PL SE STE 410, ATLANTA, GA 30339-2072
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT012941
GA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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