| Derek Dwight Clark, DPT | |
|
116 Market St, Mannington, WV 26582-1131 | |
| (304) 986-1568 | |
| (304) 986-1373 |
| Full Name | Derek Dwight Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 116 Market St, Mannington, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902059843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2714 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Dwight Clark, DPT 4 Eastgate Plz, Morgantown, WV 26508-9544 Ph: (304) 225-0910 | Derek Dwight Clark, DPT 116 Market St, Mannington, WV 26582-1131 Ph: (304) 986-1568 |
Lori-ann Michelle Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Market St, Mannington, WV 26582 Phone: 304-986-1568 Fax: 304-986-1373 | |
Benjamin David Ray, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 | |
Joseph Adam Potesta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 Fax: 304-986-9080 | |
Christopher J Moore, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 802 E Main St, Mannington, WV 26582 Phone: 304-986-9007 Fax: 304-986-9080 | |
Jonathan B Wilson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 East Main St, Mannington, WV 26582 Phone: 304-986-9007 Fax: 304-986-9007 |