Individual
MRS. DEBRA SUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 S BOULEVARD, SUITE A, EDMOND, OK 73013-5490
(405) 513-8118
(405) 513-6490
Mailing address
3500 S BOULEVARD, STE A1, EDMOND, OK 73013-5490
(405) 513-8118
(405) 513-6490
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 821
OK
Other
Enumeration date
10/13/2006
Last updated
12/19/2016
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