Organization
PURPOSE PHYSICAL THERAPY AND WELLNESS, LLC
Active
Other names
Purpose Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN CLARK JR. DPT (OWNER/CEO)
(417) 315-5577
Entity
Organization
Contact information
Practice address
6619 1ST AVE S, ST PETERSBURG, FL 33707-1305
(417) 315-5777
Mailing address
1190 28TH AVE N UNIT 1/2, ST PETERSBURG, FL 33704-2523
(417) 315-5577
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
11/15/2022
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