Jeffrey Clark, PTA

NPI #1467648048 in Henderson, Texas

Provider Information

NPI Number
1467648048
Entity Type
Individual
Name
Jeffrey Clark, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 18, 2007
Last Updated
Sep 18, 2007

Practice Location

Address
1010 W MAIN ST
State
Texas
ZIP Code
75652-2923
Phone
(903) 657-6945

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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