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Charles Clark, PT
NPI 1225052210 · on the registry since 2006
Practice
- Address
- 805 Blankenbaker Pkwy
Suite 107
Louisville, KY 40243 - Phone
- (502) 253-0833
- Fax
- (502) 253-0834
- Organisation at this address
- Agilitas Usa Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-13
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 Kentucky