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Pamela R. Clack, PT
Pediatric Physical Therapist in Monroe, Georgia
NPI 1053476929

Pamela R. Clack is a Pediatric Physical Therapist based in Good Hope, GA and is specialized in Pediatrics. Pamela R. Clack practices in Monroe, GA and has the professional credentials of PT. The NPI Number for Pamela R. Clack is 1053476929 and holds a License No. 001415 (Georgia).

The current practice location address for Pamela R. Clack is 703 Kings Rdg, Monroe, GA and can be reached out via phone at 770-207-5788 and via fax at 770-207-5708. You can also correspond with Pamela R. Clack through the mailing address at 1500 LAUNIUS RD, GOOD HOPE, GA - 30641-2637 (mailing address contact number: 706-752-0779).

Location: 703 Kings Rdg, Monroe, GA, 30641-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053476929
Provider Name
Pamela R. Clack
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
703 Kings Rdg, Monroe, GA, 30641-2637
Phone Number
770-207-5788
Fax Number
770-207-5708
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
703 Kings Rdg
City
Monroe
State
Georgia
Zip
30655-2051
Phone Number
770-207-5788
Fax Number
770-207-5708
person
Provider Business Mailing Address Details
Address
703 Kings Rdg
City
Monroe
State
Georgia
Zip
30655-2051
Phone Number
770-207-5788
Fax Number
770-207-5708
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
001415 (Georgia)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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