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1417296260
BETHANY CLARK
PALM COAST, FL
NPI
1417296260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT28112)
Enumeration Date
2013-02-13
Last Update Date
2019-04-29
Business Address
BETHANY CLARK PT, DPT
9 PINE CONE DR STE 104B
PALM COAST, FL 32137-8683
Phone number: 386-446-9716
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Mailing Address
BETHANY CLARK PT, DPT
108 CAMDEN CAY DR
ST AUGUSTINE, FL 32086-1814
Phone number: 440-864-5565
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