Individual
DENNIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 OAKLEAF WAY STE B, ALTOONA, WI 54720-2245
(715) 839-9266
Mailing address
1200 OAKLEAF WAY STE B, ALTOONA, WI 54720-2245
(715) 839-9266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3706
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40293800
—
WI
Enumeration date
02/12/2007
Last updated
12/01/2021
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