Brandon Clark
Brandon Clark is a Physical Therapy Assistant in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2025
Practice location Address checks out
4725 US Highway 98 S Ste 101-102Lakeland, FL 33812-4334
Phone: (863) 274-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA34319 (FL) |
|---|
Record details
| NPI number | 1053285353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2025 |
| Last updated in NPPES | October 1, 2025 |
| Certification date | October 1, 2025 |
| Mailing address | 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 |
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Arabel B Cardano
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Nicholas Chinboukas, PTA
4725 US Highway 98 S, Lakeland, FL 33812-4334 · (813) 978-9700
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