| NPI | 1235255837 |
|---|---|
| Professional Name | BRADFORD J. CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MD 18491) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 18491) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MD 18491) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MD 18491) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-07-17 |