Keith Wayne Clark, PTA

NPI #1346739737 in Winnsboro, Texas

Provider Information

NPI Number: 1346739737
Entity Type: Individual
Name: Keith Wayne Clark, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 1, 2018
Last Updated: Jul 12, 2024

Practice Location

Address: 406 S MAIN ST
City: Winnsboro
State: Texas
ZIP Code: 75494-3226
Phone: (903) 342-6790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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