Lance Clark, PT

NPI #1568846954 in Grove, Oklahoma

Provider Information

NPI Number
1568846954
Entity Type
Individual
Name
Lance Clark, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 15, 2015
Last Updated
Jul 15, 2015

Practice Location

Address
4621 US HIGHWAY 59
City
Grove
ZIP Code
74344-4237
Phone
(918) 786-3797

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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