Doctor Name: | MR. MATTHEW WAYNE CLARK |
NPI Number: | 1093928921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT-09442 |
Business Practice Address: | 755 S Plum St Marysville, OH - 430401631 |
Business Phone Number: | 9376448826 |
Business Fax Number: | |
Mailing Address: | 5547 Rainbow Falls Dr, DUBLIN |
State: | OH |
Postal Code: | 430166134 |
Phone Number: | 4406678629 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-09442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |