Individual
AUSTIN COLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 CONGRESS PARK DR, WASHINGTON TOWNSHIP, OH 45459-4044
(937) 660-7638
Mailing address
820 JILBE LN, LOVELAND, OH 45140-2817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021195
OH
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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