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Individual

JAMES ROBERT CLARK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-4170
(501) 604-3223
Mailing address
PO BOX 55270, LITTLE ROCK, AR 72215-5270
(501) 604-4170
(501) 604-3223

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA876
AR

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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