Gabriel M Clark in Temple Terrace - Physical Therapist

Gabriel M Clark - NPI 1336113497

Gabriel M Clark is a Physical Therapist in Temple Terrace, Florida. Gabriel M Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gabriel M Clark is 1336113497. The last update date is 2015-09-08.

Gabriel M Clark's current location address is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can contact this provider via phone number 8139789700 and fax number 8135586187. The mailing address for Gabriel M Clark is 13020 N Telecom Pkwy, Temple Terrace, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gabriel M Clark
Address 13020 N Telecom Pkwy, Temple Terrace, Florida
Phone Number 8139789700
Fax Number 8135586187
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1336113497
Provider Enumeration Date 2006-02-15
Last Updated Date 2015-09-08

Provider Mailing Address Detail

Address 13020 N Telecom Pkwy
City Temple Terrace
State Florida (FL)
Post Code 336370925
Phone Number 8139789700
Fax Number 8135586187

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT011347
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
225100000X OH TAXONOMY CODE

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FAQs about Gabriel M Clark

What is the unique 10-digit identification code assigned to Gabriel M Clark by the Centers for Medicare & Medicaid Services?

The Gabriel M Clark has been issued the NPI (National Provider Identifier) 1336113497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gabriel M Clark's physical address?

The Gabriel M Clark is physically located at 13020 N Telecom Pkwy, in the city of Temple Terrace, FL, with the postal code 336370925.

What is the Gabriel M Clark's specialty and taxonomy code?

The Gabriel M Clark's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date was the 1336113497 assigned to Gabriel M Clark?

The Gabriel M Clark was issued its 1336113497 on 2006-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gabriel M Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gabriel M Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-08.

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