Individual
MR. CLINTON LEE ASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3108 CLEARWATER DR, ST B2, PRESCOTT, AZ 86305-7170
(928) 777-9890
(928) 777-9891
Mailing address
7100 E GRANDVIEW DR, PRESCOTT VALLEY, AZ 86314-5148
(928) 925-0462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5461
AZ
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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