National Provider Identifier

Gregory D Clark, PT

Gregory D Clark, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 581-0300.

NPI 1295774792Rochester, NYPhysical Therapist

Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1295774792
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007

Practice Location

  • 1854 Stone RD
  • Plaza Sports Medicine And Rehabilitation
  • Rochester, NY 14615

Phone: (585) 581-0300

Mailing Address

  • 27 Bucklebury Hill
  • Fairport, NY 14450

Specialties

  • Physical Therapist (225100000X)

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Full Record
NPI
1295774792
Entity Type
Individual
Last Name
Clark
First Name
Gregory
Middle Name
D
Credential
PT
Mailing Street Address
27 Bucklebury Hill
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450
Mailing Country
US
Practice Street Address
1854 Stone RD
Practice Address Line 2
Plaza Sports Medicine And Rehabilitation
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14615
Practice Country
US
Practice Phone
(585) 581-0300
Practice Fax
(585) 581-0365
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)