BENJAMIN BRIAN CLARK

BELTON, MO
NPI1275931479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2014030338)
Enumeration Date2014-12-22
Last Update Date2014-12-22
Business Address
-- BENJAMIN BRIAN CLARK DPT
7909 FORREST AVE
BELTON, MO 64012-5303
Phone number: 816-738-1666
Mailing Address
-- BENJAMIN BRIAN CLARK DPT
7909 FORREST AVE
BELTON, MO 64012-5303
Phone number: 816-738-1666
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