Joan M Clark, PT
Physical Therapist in Palmyra, VA. Individual provider (NPI-1).
NPI number1790786176
StatusActive
Last updated in NPPESNov 7, 2012
Details
- NPI
- 1790786176
- Entity type
- Individual (NPI-1)
- Name
- Miss Joan M Clark
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2005
- Last updated
- Nov 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305004236 | VA | Yes |
Other names
- Joan M Clark (Professional Name)
Practice location
285 Jefferson Dr WPalmyra, VA 22963-2404
Phone 434-589-8865 · Fax 434-589-8865
Mailing address
285 Jefferson Dr WPalmyra, VA 22963-2404
Phone 434-589-8865 · Fax 434-589-8865
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All 25 Physical Therapist providers in Palmyra · All 160 providers in Palmyra
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