Derek Dwight Clark, DPT
NPI #1902059843 in Mannington, West Virginia
Provider Information
- NPI Number
- 1902059843
- Entity Type
- Individual
- Name
- Derek Dwight Clark, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 116 MARKET ST
- City
- Mannington
- State
- West Virginia
- ZIP Code
- 26582-1131
- Phone
- (304) 986-1568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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