Individual
CONSTANCE NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
109 HOMEWOOD BLVD, GLASGOW, KY 42141-3468
(270) 651-6126
Mailing address
109 HOMEWOOD BLVD, GLASGOW, KY 42141-3468
(270) 651-6126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005980
KY
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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