BENJAMIN CLARK

SHALLOTTE, NC
NPI1285189704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  16530)
Enumeration Date2016-08-25
Last Update Date2016-08-25
Business Address
-- BENJAMIN CLARK
4501 MAIN ST STE 5
SHALLOTTE, NC 28470-4585
Phone number: 910-755-5863
Mailing Address
-- BENJAMIN CLARK
4501 MAIN ST STE 5
SHALLOTTE, NC 28470-4585
Phone number: