PHILLIP CLARK

MILWAUKIE, OR
NPI1083272934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  60915368)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
PHILLIP CLARK PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 812-870-9822
Mailing Address
PHILLIP CLARK PTA
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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