Individual
PATRICK THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 S WATSON RD STE 106, BUCKEYE, AZ 85326-3435
(623) 207-4015
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
10/29/2024
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