Clark, Tony Allen
Clark, Tony Allen is an individual health care provider with primary practice located at 4251 W Cemetery Rd , Canyon TX 79015-8226. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clark, Tony Allen can be contacted via phone (806) 655-7960.Contact Information
Primary practice address
4251 W Cemetery Rd
Canyon TX 79015-8226
Phone: (806) 655-7960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1124832 | Texas |
Profile Details
| NPI number | 1114192820 |
|---|---|
| LBN Legal business name | Clark, Tony Allen |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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