National Provider Identifier
Daniel James Clark, DPT
Daniel James Clark, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Newark, NY and a listed phone number of (315) 332-2289.
Profile Overview
- NPI
- 1629727565
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 19, 2022
- Last Updated
- September 18, 2024
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513-1090
Phone: (315) 332-2289
Mailing Address
- 23 Maple Ave
- Shortsville, NY 14548-9315
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1629727565
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Daniel
- Middle Name
- James
- Credential
- DPT
- Mailing Street Address
- 23 Maple Ave
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548-9315
- Mailing Country
- US
- Mailing Phone
- (585) 752-8753
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 332-2289
- Enumeration Date
- March 19, 2022
- Last Updated
- September 18, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)