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Search › Arizona › Physical Therapy Assistant

Joseph Clark, PTA

NPI 1164021093 · on the registry since 2020 · sole proprietor

Practice

Address
1030 Scott Dr
Prescott, AZ 86301
Phone
(928) 778-2450
Organisation at this address
Prescott Village Nursing & Rehabilitation Llc
The Evangelical Lutheran Good Samaritan Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-21

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 Arizona