Provider First Line Business Practice Location Address:
330 1ST STREET, SUITE 100
Provider Second Line Business Practice Location Address:
STEVEN CLARK MFR PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
WEST DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-277-6032
Provider Business Practice Location Address Fax Number:
515-277-1356
Provider Enumeration Date:
08/15/2005