Joseph Brady Clark, PTA
Physical Therapy Assistant in Prescott, AZ. Individual provider (NPI-1).
NPI number1164021093
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1164021093
- Entity type
- Individual (NPI-1)
- Name
- Joseph Brady Clark
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA-012200 | AZ | Yes |
Practice location
1030 Scott DrPrescott, AZ 86301-4737
Phone 928-778-2450
Mailing address
554 Campbell StPrescott, AZ 86301-2521
Phone 928-830-8572
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Other Physical Therapy Assistant providers in Prescott, AZ
- Dawn Cherie Bybee, PTANPI 1396352290
- William Alan Johnson, PTANPI 1497460711
- Stephanie Gee Thompson, PTANPI 1093892820
- Derek Vanderroest, PTANPI 1720395023
All 5 Physical Therapy Assistant providers in Prescott · All 2,576 providers in Prescott
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