Individual
DANIELLE NICOLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
Mailing address
361 ROLLINGRIDGE LN, GARLAND, TX 75043-2972
(940) 453-5635
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138830
TX
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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