CHAD ALAN CLARK

PUEBLO, CO
NPI1083617906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  5835)
Enumeration Date2005-05-24
Last Update Date2011-09-01
Business Address
Mr. CHAD ALAN CLARK MSPT
58 GLENROYAL DR
PUEBLO, CO 81005-2174
Phone number: 719-565-6678
Mailing Address
Mr. CHAD ALAN CLARK MSPT
58 GLENROYAL DR
PUEBLO, CO 81005-2174
Phone number: 719-565-6678
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