Individual
ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1306 MILITARY RD STE 1, BENTON, AR 72015-2732
(501) 481-8930
Mailing address
620 N BUCHANAN ST, LITTLE ROCK, AR 72205-3208
(724) 355-8907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28857
MD
225100000X
Physical Therapist
PT027442
PA
225100000X
Physical Therapist
PT4428
AR
Other
Enumeration date
02/19/2018
Last updated
10/10/2023
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