JOSEPH BRADY CLARK

PRESCOTT, AZ
NPI1164021093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  PTA-012200)
Enumeration Date2020-10-21
Last Update Date2020-10-21
Business Address
JOSEPH BRADY CLARK PTA
1030 SCOTT DR
PRESCOTT, AZ 86301-4737
Phone number: 928-778-2450
Mailing Address
JOSEPH BRADY CLARK PTA
554 CAMPBELL ST
PRESCOTT, AZ 86301-2521
Phone number: 928-830-8572
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