Gregory Ray Clark in Shawnee - Physical Therapist

Gregory Ray Clark - NPI 1184758229

Gregory Ray Clark is a Physical Therapist in Shawnee, Oklahoma. Gregory Ray Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gregory Ray Clark is 1184758229. The last update date is 2012-10-10.

Gregory Ray Clark's current location address is 3 Windsor Court, Shawnee, Oklahoma. You can contact this provider via phone number 4056239695. The mailing address for Gregory Ray Clark is 3 Windsor Court, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Ray Clark
Address 3 Windsor Court, Shawnee, Oklahoma
Phone Number 4056239695
Fax Number
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1184758229
Provider Enumeration Date 2007-03-14
Last Updated Date 2012-10-10

Provider Mailing Address Detail

Address 3 Windsor Court
City Shawnee
State Oklahoma (OK)
Post Code 74804
Phone Number 4056239695
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 2604
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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FAQs about Gregory Ray Clark

What is the unique identification code assigned to Gregory Ray Clark by the Centers for Medicare & Medicaid Services?

The Gregory Ray Clark has been issued the NPI (National Provider Identifier) 1184758229. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gregory Ray Clark's facilities are geographically located?

The facilities of Gregory Ray Clark are physically situated at the following location: 3 Windsor Court, Shawnee, OK, 74804.

What is the area of specialization for Gregory Ray Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gregory Ray Clark is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date was the 1184758229 assigned to Gregory Ray Clark?

The Gregory Ray Clark was issued its 1184758229 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gregory Ray Clark most recently updated or revised?

The information pertaining to Gregory Ray Clark, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-10.

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