PHILLIP CLARK PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1083272934- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR, 972224628
- Phone
- (812) 870-9822
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WA #60915368
All Addresses
MAILING
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR, 972224628