Organization
CLARK PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CLARK (OWNER)
(585) 267-9547
Entity
Organization
Contact information
Practice address
2115 EMPIRE BLVD, WEBSTER, NY 14580-1907
(585) 267-9547
Mailing address
68 PRINCETON LN, FAIRPORT, NY 14450-9027
(585) 267-9547
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
024340
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
024340
NY
Other
Enumeration date
08/01/2017
Last updated
11/10/2017
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