Paul Clark
NPI #1013766690 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1013766690
- Entity Type
- Individual
- Name
- Paul Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Recreation Therapist
- Enumeration Date
- May 15, 2024
- Last Updated
- May 15, 2024
Practice Location
- Address
- 451 E BISHOP FEDERAL LN
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115-2357
- Phone
- (801) 487-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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