Dr. Jay Bradford Clark
Physical Therapist - Geriatrics Physical Therapist - Orthopedic Physical Therapist - Pediatrics
4807 Benson Ave.
Baltimore
, Maryland 21227-1530
Dr. Jay Bradford Clark
Physical Therapist - Geriatrics Physical Therapist - Orthopedic Physical Therapist - Pediatrics
4807 Benson Ave.
Baltimore
, Maryland 21227-1530
(410) 242-8965
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About
Features
Specialties
- Physical Therapist - Geriatrics
- Physical Therapist - Pediatrics
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Jay Bradford Clark
- 4807 Benson Ave.
- Baltimore, MD
- Zip : 21227-1530
- Fax : (410) 242-8965
- Phone : (410) 242-8963
Second Address
- Dr. Jay Bradford Clark
- 4807 Benson Ave.
- Baltimore, MD
- Zip : 21227-1530
- Fax : (410) 242-8965
- Phone : (410) 242-8963
Reviews
FAQs
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Where is Dr. Jay Bradford Clark ’s practice located?
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Is Dr. Jay Bradford Clark a sole practitioner?
Is Dr. Jay Bradford Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 18491 | MD |
| N | 2251P0200X | Physical Therapist - Pediatrics | 18491 | MD |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 18491 | MD |
National Provider Identifier
| NPI | 1235255837 |
|---|---|
| Provider Name | Dr. Jay Bradford Clark |
| First Address | Baltimore, MD 21227-1530 |
| Second Address | Baltimore, MD 21227-1530 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 17/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020880900 | (05) | MD |
| 103539600 | (02) | MD |
| 170S | (02) | |
| 170S | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.