Individual
NATHAN C CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4617 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2937
(719) 266-6431
Mailing address
4617 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2937
(719) 266-6431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014668
CO
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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