Individual
ANDREW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
105 SUGAR CAMP CIR STE 221, OAKWOOD, OH 45409-1979
(937) 227-3174
Mailing address
3777 HUSTON RD, YELLOW SPRINGS, OH 45387-9792
(937) 510-6265
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT022504
OH
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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