| NPI | 1386631943 |
|---|---|
| Former Name | JEANETTE M CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008796) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2021-05-14 |