James David Clark, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Lake City, SC

NPI

1285845362

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

1126 (SC)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-24

Last updated

2007-07-08