JAMES MARION CLARK

WEST COLUMBIA, SC
NPI1407093149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1633)
Enumeration Date2009-01-16
Last Update Date2009-01-16
Business Address
Mr. JAMES MARION CLARK PTA
2318 SUNSET BLVD
WEST COLUMBIA, SC 29169-4716
Phone number: 803-454-6090
Mailing Address
Mr. JAMES MARION CLARK PTA
1053 CENTER ST
WEST COLUMBIA, SC 29169-6749
Phone number:
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