Individual
ASHLEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4624 S SHERMAN ST, ENGLEWOOD, CO 80113-5818
(308) 390-4754
Mailing address
4624 S SHERMAN ST, ENGLEWOOD, CO 80113-5818
(308) 390-4754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014547
CO
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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