Clark, Wesley Ethan
Clark, Wesley Ethan is an individual health care provider with primary practice located at 931 York Dr Suite A, Desoto TX 75115-2043. 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, Wesley Ethan can be contacted via phone (972) 296-6645.Contact Information
Primary practice address
931 York Dr Suite A
Desoto TX 75115-2043
Phone: (972) 296-6645
Fax: (972) 296-4526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1142982 | Texas |
Profile Details
| NPI number | 1730118381 |
|---|---|
| LBN Legal business name | Clark, Wesley Ethan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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