Individual
ELIZABETH B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
155 SIEMERS DR STE 8, CAPE GIRARDEAU, MO 63701-4910
(573) 334-6711
Mailing address
155 SIEMERS DR STE 8, CAPE GIRARDEAU, MO 63701-4910
(573) 334-6711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009017273
MO
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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