Individual
GINGER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
120 CAVETT LANE, KNOXVILLE, TN 37922
(865) 777-4000
Mailing address
328 E HERITAGE DR, KNOXVILLE, TN 37934-2744
(865) 599-7695
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5362
TN
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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