Clark O Vandegraft, PTA
Clark O Vandegraft, PTA is a Physical Therapy Assistant in Peoria, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
3614 N Rochelle LnPeoria, IL 61604-1039
Phone: (309) 688-0350
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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 |
|---|
Record details
| NPI number | 1215493358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | February 13, 2019 |
| Last updated in NPPES | February 13, 2019 |
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