KELLY CLARK

LIVONIA, MI
NPI1720446891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501017044)
Enumeration Date2016-02-04
Last Update Date2018-04-09
Business Address
KELLY CLARK DPT
36475 5 MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-2857
Mailing Address
KELLY CLARK DPT
36475 5 MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-2857
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