Individual
JOSEPH WARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W ILLINOIS AVE, MIDLAND, TX 79701-6436
(432) 203-0200
Mailing address
8311 S STRAND LAKE RD, COTTON, MN 55724-8123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2107838
TX
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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