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.
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)
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)