Individual
DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 E SONTERRA BLVD, SAN ANTONIO, TX 78258-3971
(210) 403-2098
Mailing address
300 E SONTERRA BLVD, SAN ANTONIO, TX 78258-3971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1249841
TX
225100000X
Physical Therapist
PT011663
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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