Chandler Clark, PTA
Physical Therapy Assistant in Coppell, TX. Individual provider (NPI-1).
NPI number1619704178
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1619704178
- Entity type
- Individual (NPI-1)
- Name
- Chandler Clark
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2182964 | TX | Yes |
Practice location
3100 Olympus Blvd Ste 500Coppell, TX 75019-5473
Phone 214-442-4329
Mailing address
5401 Hollytree Dr Apt 3002Tyler, TX 75703-3486
Phone 903-520-0593
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Other Physical Therapy Assistant providers in Coppell, TX
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- Carson ArguezoNPI 1437026770
- Kelsey Anne ClarkNPI 1164948337
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- Hannah Marie DavisonNPI 1831740398
- Kelsey Shae EastmanNPI 1275350514
- Ross James Ebbe, PTANPI 1821655085
- Dawson Lambert Gregory, PTANPI 1104712009
- Ashley Marie Head, PTANPI 1487118477
- Mary HolmesNPI 1457168429
All 20 Physical Therapy Assistant providers in Coppell · All 1,093 providers in Coppell
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