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1336147289
MICHAEL CLARK
FAIRHOPE, AL
NPI
1336147289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: AL PTH2465)
Enumeration Date
2005-07-13
Last Update Date
2009-02-18
Business Address
-- MICHAEL CLARK P.T.
341 GREENO ROAD
FAIRHOPE, AL 36532
Phone number: 251-928-2401
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Mailing Address
-- MICHAEL CLARK P.T.
PO BOX 1186
FAIRHOPE, AL 36533-1186
Phone number: 251-928-2401
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