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Nicole Clark, LAT, ATC
NPI 1871968768 · on the registry since 2015 · sole proprietor
Practice
- Address
- 332 Wilson Dr
Bloomfield, IN 47424 - Phone
- (317) 432-3861
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-03
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 Indiana