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1225052210
CHARLES CLARK
LOUISVILLE, KY
NPI
1225052210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 003320)
Enumeration Date
2006-07-26
Last Update Date
2019-08-13
Business Address
Mr. CHARLES CLARK PT
805 BLANKENBAKER PKWY SUITE 107
LOUISVILLE, KY 40243-1894
Phone number: 502-253-0833
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Mailing Address
Mr. CHARLES CLARK PT
800 CRESCENT CENTRE DR STE 600
FRANKLIN, TN 37067-7286
Phone number: 615-373-1350
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