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Search › Missouri › 225200000X

Marie Clark, PTA

NPI 1518152685 · on the registry since 2007

Practice

Address
1337 W Grand St
Gallatin, MO 64640
Phone
(660) 663-2197
Fax
(660) 663-4128
Organisation at this address
The Osby Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-09-11

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 Missouri