National Provider Identifier
Craig Clarke Ullock, P.T.
Craig Clarke Ullock, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Mount Morris, NY and a listed phone number of (585) 658-9280.
Profile Overview
- NPI
- 1528119633
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- January 15, 2007
- Last Updated
- June 20, 2018
Practice Location
- 66 Stanley St
- Mount Morris, NY 14510-1435
Phone: (585) 658-9280
Mailing Address
- 3506 Thomas Drive
- Lakeville, NY 14480
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1528119633
- Entity Type
- Individual
- Last Name
- Ullock
- First Name
- Craig
- Middle Name
- Clarke
- Credential
- P.T.
- Mailing Street Address
- 3506 Thomas Drive
- Mailing City
- Lakeville
- Mailing State
- NY
- Mailing ZIP Code
- 14480
- Mailing Country
- US
- Mailing Phone
- (585) 346-0060
- Mailing Fax
- (585) 346-0108
- Practice Street Address
- 66 Stanley St
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-1435
- Practice Country
- US
- Practice Phone
- (585) 658-9280
- Enumeration Date
- January 15, 2007
- Last Updated
- June 20, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)