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MR. JOHN WOODROW CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5410 FREDERICKSBURG RD, SUITE 306 INTELISTAF HEALTHCARE, SAN ANTONIO, TX 78229
(210) 384-0115
(210) 384-8657
Mailing address
200 AGAPE LN, SEGUIN, TX 78155
(830) 303-7332

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2003034
TX

Other

Enumeration date
04/30/2007
Last updated
07/08/2007
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