Individual provider · Type 1 NPI

Carly Clark

Physical Therapy Assistant · Oswego, NY

NPI number 1790151256 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Call (315) 342-9575 Map

Mailing address

1308 Greymoor Way
Baldwinsville, NY 13027-9163

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X010006 (NY)

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 1790151256

Carly Clark's National Provider Identifier is 1790151256, issued on Aug 18, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oswego, NY. The record was last updated on Aug 18, 2015.