Individual
DR. ANDREW D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
405 RIO VISTA LN, RISING SUN, IN 47040-9497
(812) 438-2219
Mailing address
405 RIO VISTA LN, RISING SUN, IN 47040-9497
(812) 438-2219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010855A
IN
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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