Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEBORAH ANN CLARK
ActiveMRS. DEBORAH ANN CLARK is a Physical Therapy Assistant healthcare provider located in MOODY A F B, Georgia. NPI 1245214733 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOODY A F B, GA
Registration Details
- NPI Number
- 1245214733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2005 (20.525746118102 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0000005672 (TN)
Practice Information
- Address
-
347TH MEDICAL GROUP3278 MITCHELL BLVDMOODY A F B, GA, 316990001Browse GA providers · Browse ZIP 31699
- Phone
- 2292575877
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.