NICOLE GINETTE CLARK

LANSING, KS
NPI1821055724
Former NameNICOLE GINETTE MORIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-06834)
Additional Taxonomies225100000X Physical Therapist
(Licence: MD  22938)
225100000X Physical Therapist
(Licence: FL  PT22633)
Enumeration Date2006-04-26
Last Update Date2021-07-08
Business Address
NICOLE GINETTE CLARK MSPT, PhD
1004 PROGRESS DR STE 100
LANSING, KS 66043-6323
Phone number: 913-351-3586
Mailing Address
NICOLE GINETTE CLARK MSPT, PhD
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217