AMANDA J CLARK

BLOOMINGTON, IN
NPI1043554256
Former NameAMANDA J WARTHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007177A)
Enumeration Date2012-11-15
Last Update Date2015-02-16
Business Address
-- AMANDA J CLARK PT
1312 W ARCH HAVEN AVE BLDG 1320 SUITE E
BLOOMINGTON, IN 47403-2089
Phone number: 812-336-8406
Mailing Address
-- AMANDA J CLARK PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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