Individual
GAVIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13060 S US HIGHWAY 27 STE C4, DEWITT, MI 48820-8619
(517) 668-6561
(517) 306-2372
Mailing address
13060 S US HIGHWAY 27 STE C4, DEWITT, MI 48820-8619
(517) 449-1878
(517) 306-2372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303924
MI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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