Individual provider · Type 1 NPI

Grenville Clark, M.P.T.

Physical Therapist · Virginia Beach, VA

NPI number 1891740478 Active

Practice location

5301 Providence Rd, Suite 80
Virginia Beach, VA 23464-4128

Fax (757) 467-7900

Mailing address

18 Medical Park Dr
Asheville, NC 28803-2493

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XP11167 (NC)
Physical Therapist 225100000X2305202681 (VA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1891740478

Grenville Clark, M.P.T.'s National Provider Identifier is 1891740478, issued on May 23, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 13, 2026.