Jamie Albert Clark
Physical Therapist - Sports
2115 Empire Blvd
Webster
, New York 14580-1907
Jamie Albert Clark
Physical Therapist - Sports
2115 Empire Blvd
Webster
, New York 14580-1907
(585) 267-9547
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Jamie Albert Clark
- 68 Princeton Ln
- Fairport, NY
- Zip : 14450-9027
- Phone : (585) 267-9547
Second Address
- Jamie Albert Clark
- 2115 Empire Blvd
- Webster, NY
- Zip : 14580-1907
- Phone : (585) 267-9547
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 024340 | NY |
National Provider Identifier
| NPI | 1265962617 |
|---|---|
| Provider Name | Jamie Albert Clark |
| First Address | Fairport, NY 14450-9027 |
| Second Address | Webster, NY 14580-1907 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2017 |
| Last Update Date | 17/03/2018 |
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.