Wesley Ethan Clark, PT

NPI #1730118381 in Desoto, Texas

Provider Information

NPI Number: 1730118381
Entity Type: Individual
Name: Wesley Ethan Clark, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 931 YORK DR
Address 2: SUITE A
City: Desoto
State: Texas
ZIP Code: 75115-2043
Phone: (972) 296-6645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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