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1023484318
HEATHER CLARK
BOISE, ID
NPI
1023484318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-4128)
Enumeration Date
2015-08-20
Last Update Date
2015-08-28
Business Address
-- HEATHER CLARK PT, DPT
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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Mailing Address
-- HEATHER CLARK PT, DPT
1560 S CAROL ST
MERIDIAN, ID 83646-1839
Phone number: 208-288-1155
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