Individual
ANTHONY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
CP033348A
GA
225200000X
Physical Therapy Assistant
CP042973A
VA
225200000X
Physical Therapy Assistant
CP056309A
CO
225200000X
Physical Therapy Assistant
Primary
CP060501A
NC
225200000X
Physical Therapy Assistant
PTA002758
WV
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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