Individual provider · Type 1 NPI

James David Clark, PTA

Physical Therapy Assistant · Lake City, SC

NPI number 1285845362 Active

Practice location

414 W Main St
Lake City, SC 29560-2318

Fax (843) 374-7379

Mailing address

414 West Main Street
Lake City, SC 29560-2318

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1126 (SC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1285845362

James David Clark, PTA's National Provider Identifier is 1285845362, issued on May 24, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake City, SC. The record was last updated on Jul 8, 2007.