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1093928921
MATTHEW WAYNE CLARK
MARYSVILLE, OH
NPI
1093928921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT-09442)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW WAYNE CLARK PT
755 S PLUM ST
MARYSVILLE, OH 43040-1631
Phone number: 937-644-8826
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Mailing Address
Mr. MATTHEW WAYNE CLARK PT
5547 RAINBOW FALLS DR
DUBLIN, OH 43016-6134
Phone number: 440-667-8629
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MARYSVILLE PHYSICAL THERAPY INC