Organization
CLARKE PHYSICAL THERAPY, PLLC
Active
Other names
Kinetix
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN CLARKE DPT (OWNER)
(516) 568-5386
Entity
Organization
Contact information
Practice address
75 E JERICHO TPKE, MINEOLA, NY 11501-3106
(631) 338-0921
Mailing address
75 E JERICHO TPKE, MINEOLA, NY 11501-3106
(631) 338-0921
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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