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Bonnie Kathleen Clark, PT, DPT

Physical Therapist in Danville, IN. Individual provider (NPI-1).

NPI number1306134341
StatusActive
Last updated in NPPESJan 17, 2018

Details

NPI
1306134341
Entity type
Individual (NPI-1)
Name
Bonnie Kathleen Clark
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2011
Last updated
Jan 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT010311GAYes

Practice location

197 E Broadway St
Danville, IN 46122-1803

Phone 317-318-5271

Mailing address

197 E Broadway St
Danville, IN 46122-1803

Phone 317-318-5271

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