DEREK DWIGHT CLARK

MANNINGTON, WV
NPI1902059843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WV  2714)
Enumeration Date2008-10-23
Last Update Date2012-09-26
Business Address
-- DEREK DWIGHT CLARK DPT
116 MARKET ST
MANNINGTON, WV 26582-1131
Phone number: 304-986-1568
Mailing Address
-- DEREK DWIGHT CLARK DPT
4 EASTGATE PLZ
MORGANTOWN, WV 26508-9544
Phone number: 304-225-0910
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