Faith Clark, LPTA
Faith Clark, LPTA is a Physical Therapy Assistant in Waterloo, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
623 Hamacher StWaterloo, IL 62298-1786
Phone: (618) 420-3164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1346699212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPTA |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2016 |
| Last updated in NPPES | December 15, 2021 |
| Certification date | December 15, 2021 |