RUSSELL DERRICK CLARK

GREENVILLE, SC
NPI1639530686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  8087)
Enumeration Date2016-03-17
Last Update Date2016-03-17
Business Address
-- RUSSELL DERRICK CLARK DPT
1011 GROVE RD STE 2A
GREENVILLE, SC 29605-4660
Phone number: 864-233-5128
Mailing Address
-- RUSSELL DERRICK CLARK DPT
1011 GROVE RD STE 2A
GREENVILLE, SC 29605-4660
Phone number: 864-233-5128
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