MR. Jeffrey Clark, PT

NPI #1265783328 in Spring Lake, Michigan

Provider Information

NPI Number: 1265783328
Entity Type: Individual
Name: MR. Jeffrey Clark, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 28, 2012
Last Updated: Jul 1, 2014

Practice Location

Address: 18000 COVE STREET
Address 2: SUITE 202
City: Spring Lake
State: Michigan
ZIP Code: 49456-1383
Phone: (616) 847-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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