Individual provider · Type 1 NPI
Conie Clark
Physical Therapy Assistant · Clarence, MO
Practice location
111 East St
Clarence, MO 63437-1902
Mailing address
12864 Harvestor Ave
New Cambria, MO 63558-3135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2020021602 (MO) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1164098083
Conie Clark's National Provider Identifier is 1164098083, issued on Jun 1, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Clarence, MO. The record was last updated on Jun 1, 2021.