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Individual

PAUL ARMAND CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 343-1591
Mailing address
3818 NW 14TH ST, OKLAHOMA CITY, OK 73107-4310
(405) 684-3330

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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