Individual
DANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1301 NOTTINGHAM RD, JAMESVILLE, NY 13078-8705
(315) 445-9242
Mailing address
4795 GLENCREST AVE, LIVERPOOL, NY 13088-4117
(131) 540-6304
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
047002
NY
225100000X
Physical Therapist
Primary
2305215645
VA
Other
Enumeration date
04/27/2022
Last updated
05/26/2023
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