Jessica Clark, PT, DPT

NPI 1376159616 · on the registry since 2020 · sole proprietor

Practice

Address: 1030 Scott Dr
Prescott, AZ 86301
Phone: (928) 778-2450
Fax: (928) 777-8840
Organisation at this address: Prescott Village Nursing & Rehabilitation Llc
The Evangelical Lutheran Good Samaritan Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona