IndividualActive
Debra Clark, PT
NPI 1720178650 · Orthopedic Physical Therapist · Edmond, OK
Provider details
- NPI number
- 1720178650
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT 821 (OK)
Practice location
3500 S Boulevard
Suite a
Edmond, OK 73013-5490
Phone: (405) 513-8118
Fax: (405) 513-6490
Mailing address
3500 S Boulevard
Edmond, OK 73013-5490
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.