Individual
PAUL ARMAND CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2831
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2831
PHYSICAL THERAPIST
OK
Enumeration date
04/23/2007
Last updated
02/02/2024
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