Individual
CAROLINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2089 TERON TRCE STE 120, DACULA, GA 30019-1609
(770) 904-2357
Mailing address
2089 TERON TRCE STE 120, DACULA, GA 30019-1609
(770) 904-2357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014862
GA
Other
Enumeration date
09/24/2020
Last updated
03/22/2023
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