ISABEAU CLARK

MERRIAM, KS
NPI1104395706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A6586)
Enumeration Date2018-11-13
Last Update Date2018-11-13
Business Address
ISABEAU CLARK PTA
10000 W 75TH ST STE 250
MERRIAM, KS 66204-2218
Phone number: 888-913-1910
Mailing Address
ISABEAU CLARK PTA
1065 TUCKDA WAY
HAMPTONVILLE, NC 27020-8291
Phone number: 888-913-1910
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