Curtis Robert Clark, P.T.
Physical Therapist in Miami, FL. Individual provider (NPI-1).
NPI number1104841345
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104841345
- Entity type
- Individual (NPI-1)
- Name
- Mr. Curtis Robert Clark
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1615 | FL | Yes |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 305-585-6334
Mailing address
6566 S.W. 53 TerraceMiami, FL 33155
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