Individual
LINDSEY ALICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2140 DULUTH PL, MAPLEWOOD, MN 55109-3414
(612) 807-0851
Mailing address
2140 DULUTH PL, MAPLEWOOD, MN 55109-3414
(612) 807-0851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2559-19
WI
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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