Individual
MR. THOMAS COLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7111 E 21ST ST N STE 103, WICHITA, KS 67206
(316) 269-1311
(316) 269-1588
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11-01967
KS
Other
Enumeration date
01/30/2007
Last updated
01/15/2019
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