| NPI | 1457899809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK D CLARK Owner, Physical Therapist 304-685-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV 2714) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |