Individual
JAMIE ALBERT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
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
Primary
024340
NY
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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