MICHAEL JAMES CLARK

WALLA WALLA PHYSICAL THERAPY CENTER APS

Dr MICHAEL JAMES CLARK is a male medical professional, specializing in Physical Therapy. He graduated in 1992.

Contact

WALLA WALLA PHYSICAL THERAPY CENTER APS

275 W TIETAN ST
WALLA WALLA
WA
993624363

Tel: 5095220114

MICHAEL JAMES CLARK Information

Npi 1306849955
Pac Id 7810982907
Professional Enrollment Id I20170413002098
Last Name CLARK
First Name MICHAEL
Middle Name JAMES
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1992
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WALLA WALLA PHYSICAL THERAPY CENTER APS
Group Practice Pac Id 6901797190
Number Of Group Practice Members 3
Line 1 Street Address 275 W TIETAN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALLA WALLA
State WA
Zip Code 993624363
Phone Number 5095220114
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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