Individual
ZACHARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 N HUBBARDS LN STE 195, LOUISVILLE, KY 40207-8227
(502) 632-4003
(502) 632-4004
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008665
KY
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/28/2022
Last updated
11/03/2022
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