Individual
MR. CURTIS ROBERT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6334
Mailing address
6566 S.W. 53 TERRACE, MIAMI, FL 33155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1615
FL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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