| NPI | 1215325519 |
|---|---|
| Former Name | CARI FERN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1245607) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2022-07-21 |