Individual
COURTNEY ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4611 GUADALUPE ST STE 200, AUSTIN, TX 78751-2928
(512) 476-2830
(512) 476-2832
Mailing address
4611 GUADALUPE ST STE 200, AUSTIN, TX 78751-2928
(512) 476-2830
(512) 476-2832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1227166
TX
2251X0800X
Orthopedic Physical Therapist
56359
TX
Other
Enumeration date
09/16/2014
Last updated
10/19/2023
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