Individual
HEIDI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2455 UNION LAKE RD, COMMERCE TWP, MI 48382-3596
(248) 363-1234
(248) 353-1211
Mailing address
29255 NORTHWESTERN HWY, SUITE 300, SOUTHFIELD, MI 48034-1018
(248) 353-1234
(248) 353-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016656
MI
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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