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Individual
URIAN CLARK
Active
Individual
URIAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05013956A
IN
225100000X
Physical Therapist
070025427
IL
225100000X
Physical Therapist
40QA02232200
NJ
225100000X
Physical Therapist
Primary
PT017539
GA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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