Charles S Clark in Phoenix - Physical Therapist
Charles S Clark - NPI 1043293681
Charles S Clark is a Physical Therapist in Phoenix, Arizona. Charles S Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Charles S Clark is 1043293681. The last update date is 2011-03-21.
Charles S Clark's current location address is 5777 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Charles S Clark is 5777 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles S Clark |
|---|---|
| Address | 5777 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1043293681 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | 5777 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 591 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650026171 | AZ | RAILROAD MEDICARE | |
| 748006 | AZ | -- |
Post Comment/ Review Below
What is the Charles S Clark's unique identification number?
The Charles S Clark has been assigned the NPI (National Provider Identifier) Number 1043293681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Charles S Clark?
The Charles S Clark is situated at 5777 E Mayo Blvd, in the city of Phoenix, state of AZ, with the zip code 850544502.
What is Charles S Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles S Clark is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Charles S Clark receive its 1043293681 assignment from the Centers for Medicare & Medicaid Services?
The Charles S Clark was assigned its 1043293681 by the Centers for Medicare & Medicaid Services on 2005-11-29.
When was the Charles S Clark's information last updated?
The Charles S Clark's information was last updated on 2011-03-21.