MR. James David Clark, PTA
NPI #1285845362 in Lake City, South Carolina
Provider Information
- NPI Number
- 1285845362
- Entity Type
- Individual
- Name
- MR. James David Clark, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- May 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 414 W MAIN ST
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2318
- Phone
- (843) 374-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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