Joseph Brady Clark, PTA

NPI #1164021093 in Prescott, Arizona

Provider Information

NPI Number
1164021093
Entity Type
Individual
Name
Joseph Brady Clark, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 21, 2020
Last Updated
Oct 21, 2020

Practice Location

Address
1030 SCOTT DR
State
Arizona
ZIP Code
86301-4737
Phone
(928) 778-2450

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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