Stephen Clark
NPI #1689387805 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1689387805
- Entity Type
- Individual
- Name
- Stephen Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 3, 2023
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 1400 MAIN ST NW STE 1&2
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-4812
- Phone
- (505) 865-4368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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