CHERY C. CLARK

PROVO, UT
NPI1598094690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  7390819-2401)
Enumeration Date2009-12-18
Last Update Date2009-12-18
Business Address
-- CHERY C. CLARK OT
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7540
Mailing Address
-- CHERY C. CLARK OT
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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