Nathan Clark

NPI #1932763570 in Coppell, Texas

Provider Information

NPI Number: 1932763570
Entity Type: Individual
Name: Nathan Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 29, 2019
Last Updated: Apr 29, 2019

Practice Location

Address: 3100 OLYMPUS BLVD STE 500
City: Coppell
State: Texas
ZIP Code: 75019-5473
Phone: (866) 221-5405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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