Individual
WILLIAM TAYLOR CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3061 N MARKET AVE STE 4, FAYETTEVILLE, AR 72703-3561
(479) 444-6277
(479) 444-6278
Mailing address
PO BOX 871, TONTITOWN, AR 72770-0871
(479) 444-6277
(479) 444-6278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4308
PT
AR
Enumeration date
09/12/2017
Last updated
03/17/2018
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