Michael J Clark, PT
NPI #1306849955 in Walla Walla, Washington
Provider Information
- NPI Number
- 1306849955
- Entity Type
- Individual
- Name
- Michael J Clark, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- May 27, 2005
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 275 W TIETAN ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4363
- Phone
- (509) 522-0114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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