Individual
AMANDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2451 CORAL CT STE 1, CORALVILLE, IA 52241-2837
(319) 853-0596
Mailing address
2451 CORAL CT STE 1, CORALVILLE, IA 52241-2837
(319) 853-0596
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
085170
IA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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