| Doctor Name: | MISS KATHRYN MARIE CLARK |
| NPI Number: | 1790861847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5092 |
| Business Practice Address: | 1 Peachtree Dr Savannah, GA - 314191200 |
| Business Phone Number: | 9129270667 |
| Business Fax Number: | 9129270678 |
| Mailing Address: | 164 Somersby Blvd, POOLER |
| State: | GA |
| Postal Code: | 313229380 |
| Phone Number: | 9126633830 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5092 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| 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 |