EMMETT DON CLARK

CONWAY, AR
NPI1154428456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  1318)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Mr. EMMETT DON CLARK PTA
1500 MUSEUM RD STE 104
CONWAY, AR 72032-4761
Phone number: 501-329-3804
Mailing Address
Mr. EMMETT DON CLARK PTA
1500 MUSEUM RD STE 104
CONWAY, AR 72032-4761
Phone number: 501-329-3804