Doctor Name: | BRIAN HOWARD CLARK |
NPI Number: | 1114063245 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PTH3211 |
Business Practice Address: | 1300 S Montgomery Ave Sheffield, AL - 356606334 |
Business Phone Number: | 2563864005 |
Business Fax Number: | 2563864685 |
Mailing Address: | 2101 Virginia Ave, MUSCLE SHOALS |
State: | AL |
Postal Code: | 356612633 |
Phone Number: | 2563140491 |
Fax Number: | 2563864067 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH3211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |