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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY RAY CLARK, P.T.

Active Sole Proprietor

MR. GREGORY RAY CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in SHAWNEE, Oklahoma. NPI 1184758229 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHAWNEE, OK

Registration Details

NPI Number
1184758229
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2007 (19.415360110163 yrs)
Last Updated
Oct 10, 2012
License
2604 (OK)
Sole Proprietor
Yes

Practice Information

Address
3 WINDSOR CT
SHAWNEE, OK, 748042330
Browse OK providers · Browse ZIP 74804
Phone
4056239695
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHAWNEE, OK

Name Credential NPI
LISA ANNE KNIGHT PT 1316999360
MELISSA MICHELLE KILLGORE P.T 1194772699
CRYSTAL DAWN BARGER P.T. 1588605000
ERIC MICHAEL QUINONES PT 1518981943
MRS. KATIE ANN LANDES PT 1285730978
KATHY A RIGBY PT 1992891733
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.