Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRENVILLE CLARK, M.P.T.
ActiveMR. GRENVILLE CLARK, M.P.T. is a Physical Therapy Assistant healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1891740478 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1891740478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.185755991013 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
P11167 (NC)2305202681 (VA)
Practice Information
- Address
-
5301 PROVIDENCE RDSUITE 80VIRGINIA BEACH, VA, 234644128Browse VA providers · Browse ZIP 23464
- Phone
- 7574671900
- Fax
- 7574677900
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ALEX SIYUFY | PT | 1497742795 |
| MS. JUDITH M ANDERSON | PT | 1003897406 |
| MRS. ERIN K GERBUS | PT | 1366424608 |
| MR. ROBERT CHARLES BEBA | PT | 1225011935 |
| MR. ERIK HJALMAR WIJTMANS | PT | 1679556112 |
| LANKHUE DINH | PT | 1205819828 |
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.