DR. Kenneth John Clark JR., DPT

NPI #1144740580 in Saint Petersburg, Florida

Provider Information

NPI Number: 1144740580
Entity Type: Individual
Name: DR. Kenneth John Clark JR., DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 27, 2017
Last Updated: Feb 3, 2022

Practice Location

Address: 6619 1ST AVE S
City: Saint Petersburg
State: Florida
ZIP Code: 33707-1305
Phone: (417) 315-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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