Clark, Gregory Ray

Clark, Gregory Ray is an sole proprietor health care provider with primary practice located at 3 Windsor Ct , Shawnee OK 74804-2330. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clark, Gregory Ray can be contacted via phone (405) 623-9695.

Contact Information

Primary practice address
3 Windsor Ct Shawnee OK 74804-2330
Phone: (405) 623-9695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2604 Oklahoma

Profile Details

NPI number 1184758229
LBN Legal business name Clark, Gregory Ray
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Oct 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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