Organization
CLARK'S FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA CLARK D.C. (CHIROPRACTOR/OWNER)
(866) 932-9630
Entity
Organization
Contact information
Practice address
6646 W JOHNSON RD, LA PORTE, IN 46350-8243
(866) 932-9630
Mailing address
6646 W JOHNSON RD, LA PORTE, IN 46350-8243
(866) 932-9630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002710A
IN
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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