Individual
DANIEL LEWIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1919 BRINKER RD, DENTON, TX 76208-6215
(940) 380-9494
Mailing address
1217 MAGNOLIA ST, GAINESVILLE, TX 76240-2933
(903) 203-4089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2152204
TX
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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