Individual
DAVID NICHOLAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
1010 S SCHEUBER RD, CENTRALIA, WA 98531-8892
(360) 480-1506
Mailing address
800 ALTA ST SW APT D202, OLYMPIA, WA 98502-6103
(503) 707-9541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60865775
WA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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