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Jason Clark, PTA
NPI 1053190660 · on the registry since 2023
Practice
- Address
- 10908 Stoney Creek Ct
Indianapolis, IN 46239 - Phone
- (765) 969-9816
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana