Individual
ADAM THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, COMT
Contact information
Practice address
2591 44TH ST SE STE 101, GRAND RAPIDS, MI 49512-9094
(616) 281-9237
(616) 281-3115
Mailing address
2591 44TH ST SE STE 101, GRAND RAPIDS, MI 49512-9094
(502) 489-5002
(616) 281-9237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007201
KY
2251X0800X
Orthopedic Physical Therapist
Primary
5501018297
MI
Other
Enumeration date
07/27/2017
Last updated
10/25/2022
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