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Edwena Clark, PTA
NPI 1497316541 · on the registry since 2019
Practice
- Address
- 200 Mayfield Dr
Smyrna, TN 37167 - Phone
- (615) 355-0350
- Fax
- (615) 355-5549
- Organisation at this address
- Smyrna Care Center
Diversicare Of Smyrna
Diversicare Leasing Lp
Upton Creek Holdings LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-27
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 Tennessee