Kelly Clark

NPI #1053893073 in Weatherford, Texas

Provider Information

NPI Number: 1053893073
Entity Type: Individual
Name: Kelly Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 970 HILLTOP DR
City: Weatherford
State: Texas
ZIP Code: 76086-5488
Phone: (817) 808-1633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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