Individual
MR. CLAY THOMAS BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
(904) 573-0772
Mailing address
130 OLD TOWN PKWY UNIT 2103, ST AUGUSTINE, FL 32084-5828
(904) 392-5820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24950
FL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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