Faron Clark

NPI #1316585680 in Robinson, Illinois

Provider Information

NPI Number
1316585680
Entity Type
Individual
Name
Faron Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Dec 17, 2019
Last Updated
Dec 17, 2019

Practice Location

Address
205 N REED ST
ZIP Code
62454-1253
Phone
(618) 554-1574

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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