| Doctor Name: | MRS. CHANIN PAIGE CLARK |
| NPI Number: | 1164498481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 19113 |
| Business Practice Address: | 8181 N Pine Island Rd Tamarac, FL - 333211543 |
| Business Phone Number: | 9547240595 |
| Business Fax Number: | 9547240696 |
| Mailing Address: | 9735 Nw 5th Ct, CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330716816 |
| Phone Number: | 9543466076 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 19113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |