Whalio Doctors

NPI 1013438258

Dana Clark

Practitioner Physical Therapy Assistant Tallahassee, FL

Practice location

Address
1650 Phillips Rd, Tallahassee, FL 32308-5304
Phone
(850) 942-9868
Mailing address
22292 NE Lee Farm Rd, Blountstown, FL 32424-9636

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTAT27624 (FL)

Registry record

NPI
1013438258
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Jun 2017
Record last updated
28 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.