Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES CLARK, P.T.
ActiveCHARLES CLARK, P.T. is a Physical Therapy Assistant healthcare provider located in AURORA, Illinois. NPI 1245226141 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · AURORA, IL
Registration Details
- NPI Number
- 1245226141
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (20.843589805277 yrs)
- Last Updated
- Dec 7, 2016
- License
-
070-008359 (IL)
Practice Information
- Address
-
1900 OGDEN AVEAURORA, IL, 605044273Browse IL providers · Browse ZIP 60504
- Phone
- 6309786218
- Fax
- 6309786219
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in AURORA, IL
| Name | Credential | NPI |
|---|---|---|
| JASON TAYLOR | P.T. | 1316933211 |
| DAVID JAY MAASKE | P.T. | 1831185859 |
| NATALIE BOULE | P.T. | 1801882824 |
| MRS. RACHEL NICOLE BULLAR | P.T. | 1023095650 |
| CHAD RANDOLPH | PT | 1033196100 |
| NOEL C. TAYLOR | DPT | 1740256353 |
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.