MR. Jeffrey L Clark, LAT, ATC, RET.

NPI #1154386183 in Mckinney, Texas

Provider Information

NPI Number: 1154386183
Entity Type: Individual
Name: MR. Jeffrey L Clark, LAT, ATC, RET.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: LAT, ATC, RET.
Enumeration Date: Apr 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2414 W UNIVERSITY DR
Address 2: SUITE 110
City: Mckinney
State: Texas
ZIP Code: 75071-2810
Phone: (972) 569-9050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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