Charles S Clark P.T.

NPI 1043293681 - Physical Therapist - 225100000X

NPI Details
NPI 1043293681
Gender Male
Enumeration Date 11/29/2005
Last Updated 03/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
5777 E MAYO BLVD
PHOENIX AZ, 85054-4502, US
Phone (480) 301-8000
Fax
Business Location
5777 E MAYO BLVD
PHOENIX AZ, 85054-4502, US
Phone (480) 301-8000
Fax
Toxanomy
Taxonomy Code 225100000X
License State Arizona
License Number 591
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According to our database, Charles S Clark P.T. NPI is 1043293681, taxonomy code is 225100000X and license number is 591, license state is located at Arizona. Charles S Clark P.T. physically located at 5777 E Mayo Blvd, Phoenix AZ, 85054-4502. NPI Number Charles S Clark P.T. has the Individual type.

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1043293681 NPI number is provided on an as is basis without warranty of any kind. 1043293681 is maintained by the National Plan & Provider Enumeration System. The contents of Charles S Clark P.T. are for informational purposes only.