Chery C. Clark OT

NPI 1598094690 - Physical Therapist - 225100000X

NPI Details
NPI 1598094690
Gender Female
Enumeration Date 12/18/2009
Last Updated 12/18/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
1034 N 500 W
PROVO UT, 84604-3380, US
Phone (801) 357-7540
Fax
Business Location
PO BOX 30180
SALT LAKE CITY UT, 84130-0180, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Utah
License Number 7390819-2401
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According to our database, Chery C. Clark OT NPI is 1598094690, taxonomy code is 225100000X and license number is 7390819-2401, license state is located at Utah. Chery C. Clark OT physically located at 1034 N 500 W, Provo UT, 84604-3380. NPI Number Chery C. Clark OT has the Individual type.

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1598094690 NPI number is provided on an as is basis without warranty of any kind. 1598094690 is maintained by the National Plan & Provider Enumeration System. The contents of Chery C. Clark OT are for informational purposes only.