CRYSTA CLARK

MUKWONAGO, WI
NPI1992315287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15117)
Enumeration Date2020-08-03
Last Update Date2026-02-03
Business Address
CRYSTA CLARK DPT
240 MAPLE AVE
MUKWONAGO, WI 53149-8475
Phone number: 262-928-1715
Mailing Address
CRYSTA CLARK DPT
240 MAPLE AVE
MUKWONAGO, WI 53149-8475
Phone number: 262-928-1715