Austin F Clark, DPT Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · O Fallon, MO

NPI

1588109078

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

No

Enumerated

2016-12-20

Last updated

2016-12-20