Individual provider · Type 1 NPI
Pamela R. Clack, P.T.
Pediatric Physical Therapist · Monroe, GA
Practice location
703 Kings Rdg
Monroe, GA 30655-2051
Fax (770) 207-5708
Mailing address
1500 Launius Rd
Good Hope, GA 30641-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 001415 (GA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
Other pediatric physical therapist providers in Monroe
About NPI 1053476929
Pamela R. Clack, P.T.'s National Provider Identifier is 1053476929, issued on Dec 22, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Monroe, GA. The record was last updated on Jul 8, 2007.