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Kirsten Clark, PT
Specialist in Dearborn, Michigan
NPI 1821159690

Kirsten Clark is a Specialist based in Commerce Township, MI. Kirsten Clark practices in Dearborn, MI and has the professional credentials of PT. The NPI Number for Kirsten Clark is 1821159690 and holds a License No. 5501004619 (Michigan).

The current practice location address for Kirsten Clark is 20031 Carlysle St, Dearborn, MI and can be reached out via phone at 313-277-9170 and via fax at 313-277-9176.

Location: 20031 Carlysle St, Dearborn, MI, 48390-4135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821159690
Provider Name
Kirsten Clark
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
20031 Carlysle St, Dearborn, MI, 48390-4135
Phone Number
313-277-9170
Fax Number
313-277-9176
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
20031 Carlysle St
City
Dearborn
State
Michigan
Zip
48124-3803
Phone Number
313-277-9170
Fax Number
313-277-9176
person
Provider Business Mailing Address Details
Address
20031 Carlysle St
City
Dearborn
State
Michigan
Zip
48124-3803
Phone Number
313-277-9170
Fax Number
313-277-9176
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5501004619 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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