MR. Jason Clark, PTA

NPI #1457632705 in Ontonagon, Michigan

Provider Information

NPI Number
1457632705
Entity Type
Individual
Name
MR. Jason Clark, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 31, 2011
Last Updated
Aug 31, 2011

Practice Location

Address
1001 GIESAU DR
ZIP Code
49953-1454
Phone
(906) 884-6092

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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