Individual
DANIEL JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 332-2289
Mailing address
23 MAPLE AVE, SHORTSVILLE, NY 14548-9315
(585) 752-8753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047395
NY
Other
Enumeration date
03/19/2022
Last updated
09/18/2024
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