JASON CLARK

INDIANAPOLIS, IN
NPI1053190660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003774A)
Enumeration Date2023-09-22
Last Update Date2023-09-22
Business Address
-- JASON CLARK PTA
10908 STONEY CREEK CT
INDIANAPOLIS, IN 46239-9481
Phone number: 765-969-9816
Mailing Address
-- JASON CLARK PTA
10908 STONEY CREEK CT
INDIANAPOLIS, IN 46239-9481
Phone number: 765-969-9816
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