MR. Matthew Wayne Clark, PT

NPI #1093928921 in Marysville, Ohio

Provider Information

NPI Number: 1093928921
Entity Type: Individual
Name: MR. Matthew Wayne Clark, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 755 S PLUM ST
City: Marysville
State: Ohio
ZIP Code: 43040-1631
Phone: (937) 644-8826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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