Organization
CLARK HOME AND HEALTH SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TENNYSON CLARK WISMER DPT, PT (PHYSICAL THERAPIST)
(517) 242-0425
Entity
Organization
Contact information
Practice address
1302 SANDHILL DR, DEWITT, MI 48820-9550
(517) 242-4042
(517) 237-6089
Mailing address
1302 SANDHILL DR, DEWITT, MI 48820-9550
(517) 242-4042
(517) 237-6089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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