BROOKE CLARK, PTA
Physical Therapist
Active
Individual
NPI: 1790003911
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | No | TEI000420 (PA) |
| Physical Therapist | 225100000X | Yes | TEI000420 (PA) |
Frequently Asked Questions
NPI 1790003911 is the National Provider Identifier for BROOKE CLARK, PTA, a Physical Therapist provider located in Corry, PA. This NPI was enumerated on May 12, 2010.
BROOKE CLARK, PTA practices at 640 WORTH STREET, Corry, PA 16407.
Quick Facts
- NPI
- 1790003911
- Type
- Individual
- Enumerated
- May 12, 2010
- Last Updated
- Dec 2, 2015
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