DALLAS LAYNE CLARK

DIAMONDVILLE, WY
NPI1972693497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  802)
Additional Taxonomies225100000X Physical Therapist
(Licence: UT  6293691-2401)
Enumeration Date2006-10-13
Last Update Date2007-07-09
Business Address
Mr. DALLAS LAYNE CLARK P.T.
20 ADAVILLE DRIVE SUITE 10
DIAMONDVILLE, WY 83116
Phone number: 307-877-1000
Mailing Address
Mr. DALLAS LAYNE CLARK P.T.
PO BOX 152
LAKETOWN, UT 84038-0152
Phone number: 435-946-3512
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