Individual
DAVE LOREN CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6079
Mailing address
6507 S WOODLAND CT, SPOKANE, WA 99224-8488
(509) 448-0359
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00003891
WA
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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