Individual
THOMAS ALLEN CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
Mailing address
PO BOX 624, GOLCONDA, IL 62938-0624
(618) 683-3060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004744
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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