Susan L Clark, associates degree
Physical Therapy Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1023313640
StatusActive
Last updated in NPPESJan 12, 2011
Details
- NPI
- 1023313640
- Entity type
- Individual (NPI-1)
- Name
- Susan L Clark
- Credential
- associates degree
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2011
- Last updated
- Jan 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5502000487 | MI | Yes |
Practice location
3019 Coit Ave NeGrand Rapids, MI 49505-3376
Phone 616-365-7761
Mailing address
3019 Coit Ave NeGrand Rapids, MI 49505-3376
Phone 616-365-7761
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All 63 Physical Therapy Assistant providers in Grand Rapids · All 20,987 providers in Grand Rapids
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