NPI 1093757213

Keta O'Neal Clark, PT

Practitioner Physical Therapist Colchester, VT

Practice location

Address: 790 College Pkwy, Colchester, VT 05446-3007
Phone: (802) 847-1902
Fax: (802) 847-7963
Mailing address: 790 College Parkway, Colchester, VT 05446

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 040-0003350 (VT)

Other Physical Therapist providers in Vermont →

Registry record

NPI: 1093757213
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2006
Record last updated: 30 Jul 2020

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.