Individual provider · Type 1 NPI

Susan L. Clark, ASSOCIATES DEGREE

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1023313640 Active

Practice location

3019 Coit Ave NE
Grand Rapids, MI 49505-3376

Call (616) 365-7761 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000487 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1023313640

Susan L. Clark, ASSOCIATES DEGREE's National Provider Identifier is 1023313640, issued on Jan 12, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 12, 2011.