Bethany Clark, PT, DPT Valid NPI

Individual provider · Physical Therapist · Palm Coast, FL

NPI

1417296260

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT28112 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-02-13

Last updated

2019-04-29