Miss LORI ANN CLARK --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1437274982- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- OLD MIDLAND TRAIL-RT. 60, ANSTED, WV, 25812
- Phone
- (304) 658-5271
- Fax
- (304) 658-4113
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #000599