Most Relevant Information
Provider Data
| NPI Number: | 1003060351 |
| Provider Name: | TIFFANY A CLERK DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT009489 |
Most Important Dates
| Enumeration Date: | 11/13/2008 |
| Last Updated: | 05/06/2010 |
Provider Practice Location
2801 N DECATUR RD
SUITE 230
DECATUR
GA
300335949
Practice Location Phone/Fax
| Phone: | 4042947211 |
| Fax: | 4042947595 |
Provider Mailing Location
2400 WISTERIA DR
SUITE A
SNELLVILLE
GA
300782689
Provider Mailing Phone/Fax
| Phone: | 7709820102 |
| Fax: | 7709820130 |