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1811107030
KATHY CLARK
CHATTANOOGA, TN
NPI
1811107030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000000057)
Enumeration Date
2007-05-23
Last Update Date
2009-06-08
Business Address
-- KATHY CLARK PTA
1 SISKIN PLZ
CHATTANOOGA, TN 37403-1306
Phone number: 423-634-1200
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Mailing Address
-- KATHY CLARK PTA
12800 BIRCHWOOD PIKE
HARRISON, TN 37341-8903
Phone number: 423-961-0489
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