KELLY L CLARK

CONWAY, AR
NPI1053417907
Former NameKELLY L WOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  2010)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Mrs. KELLY L CLARK PTA
1500 MUSEUM RD STE 104
CONWAY, AR 72032-4761
Phone number: 501-329-3804
Mailing Address
Mrs. KELLY L CLARK PTA
1500 MUSEUM RD STE 104
CONWAY, AR 72032-4761
Phone number: 501-329-3804