CLARK ULLERICH

PELLA, IA
NPI1306033857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  03110)
Enumeration Date2007-09-28
Last Update Date2007-09-28
Business Address
-- CLARK ULLERICH MPT
308 SE 9TH ST
PELLA, IA 50219-2296
Phone number: 866-588-0230
Mailing Address
-- CLARK ULLERICH MPT
416 5TH AVE W
OSKALOOSA, IA 52577-2654
Phone number: 641-660-3652