Individual
MR. WILLIAM AUSTIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1055 CORPORATE DR, LAWRENCEBURG, KY 40342-8037
(502) 517-0187
Mailing address
1055 CORPORATE DR, LAWRENCEBURG, KY 40342-8037
(502) 517-0187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006837
KY
Other
Enumeration date
05/22/2016
Last updated
05/22/2016
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