Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pamela R. Clack, PT

Individual provider Pediatric Physical Therapist · NPI 1053476929

Pamela R. Clack, PT is a Pediatric Physical Therapist in Monroe, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

703 Kings Rdg
Monroe, GA 30655-2051
Phone: (770) 207-5788
Fax: (770) 207-5708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 001415 (GA)

Record details

NPI number1053476929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESJuly 8, 2007

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