Individual
DR. SIENNA MARIE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-8484
Mailing address
2216 REMBERT ST, COLUMBIA, SC 29201-1862
(847) 997-6010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7912
SC
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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