DAVID NICHOLAS CLARK

CENTRALIA, WA
NPI1164984134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60865775)
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
DAVID NICHOLAS CLARK PT,DPT
1010 S SCHEUBER RD
CENTRALIA, WA 98531-8892
Phone number: 360-480-1506
Mailing Address
DAVID NICHOLAS CLARK PT,DPT
800 ALTA ST SW APT D202
OLYMPIA, WA 98502-6103
Phone number: 503-707-9541