CRYSTA CLARK

KENOSHA, WI
NPI1992315287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  15117)
Enumeration Date2020-08-03
Last Update Date2020-08-03
Business Address
CRYSTA CLARK DPT
10222 74TH ST STE 211
KENOSHA, WI 53142-6810
Phone number: 262-925-5020
Mailing Address
CRYSTA CLARK DPT
3921 30TH AVE STE C
KENOSHA, WI 53144-1939
Phone number: 262-925-5000
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