Individual
MR. DAVID L CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Mailing address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
032662-1
NY
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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