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Individual
STEPHEN THOMAS CLARK
Active
Individual
STEPHEN THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1244088
TX
225100000X
Physical Therapist
CP008179T
KY
225100000X
Physical Therapist
Primary
PT011085
GA
Other
Enumeration date
08/01/2013
Last updated
05/18/2023
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