OTIS WINSTON CLARK

PT SOLUTIONS OF ACWORTH LLC

Dr OTIS WINSTON CLARK is a male medical professional, specializing in Physical Therapy. He graduated in 2010.

Contact

PT SOLUTIONS OF ACWORTH LLC

3455 PEACHTREE INDUS BLVD
SUITE 130
DULUTH
GA
30096

Tel: 6785344727

OTIS WINSTON CLARK Information

Npi 1477864312
Pac Id 7113112434
Professional Enrollment Id I20101112000276
Last Name CLARK
First Name OTIS
Middle Name WINSTON
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PT SOLUTIONS OF ACWORTH LLC
Group Practice Pac Id 0042291817
Number Of Group Practice Members 16
Line 1 Street Address 3455 PEACHTREE INDUS BLVD
Line 2 Street Address SUITE 130
Marker Of Address Line 2 Suppression
City DULUTH
State GA
Zip Code 30096
Phone Number 6785344727
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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