Individual
BOBBIE CHERRYL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
8929 BRIARWOOD DR, SEMINOLE, FL 33772-2808
(727) 504-8656
Mailing address
8929 BRIARWOOD DR, SEMINOLE, FL 33772-2808
(727) 504-8656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14112
FL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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