Individual
AMY ELIZABETH CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 748-9138
Mailing address
105 N OAKWOOD RD, OSHKOSH, WI 54904-7830
(920) 279-6139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40365600
—
WI
Enumeration date
08/01/2007
Last updated
04/08/2025
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