JAMES DAVID CLARK

LAKE CITY, SC
NPI1285845362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1126)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mr. JAMES DAVID CLARK PTA
414 W MAIN ST
LAKE CITY, SC 29560-2318
Phone number: 843-374-7378
Mailing Address
Mr. JAMES DAVID CLARK PTA
414 WEST MAIN STREET
LAKE CITY, SC 29560-2318
Phone number: 843-374-7378
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