BRAYDEN CLAYE CLARK

FORT WAYNE, IN
NPI1316787823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: IN  05015560A)
Enumeration Date2024-05-31
Last Update Date2024-06-04
Business Address
BRAYDEN CLAYE CLARK
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
BRAYDEN CLAYE CLARK
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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