MR. EMMETT CLARK JR., PTA

Physical Therapy Assistant

Active Individual
NPI: 1154428456

Practice Address

1500 MUSEUM RD STE 104
Conway, AR 72032

Phone: (501) 329-3804

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 1318 (AR)

Frequently Asked Questions

NPI 1154428456 is the National Provider Identifier for MR. EMMETT CLARK JR., PTA, a Physical Therapy Assistant provider located in Conway, AR. This NPI was enumerated on September 20, 2006.
MR. EMMETT CLARK JR., PTA practices at 1500 MUSEUM RD STE 104, Conway, AR 72032.

Quick Facts

NPI
1154428456
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Jul 8, 2007

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