| Michael Clark, | |
|
84 Oxford Road, Oxford, CT 06478-1971 | |
| (203) 881-0830 | |
| (203) 881-0894 |
| Full Name | Michael Clark |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 84 Oxford Road, Oxford, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528646379 | NPI | - | NPPES |
| 004190328 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13032 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Clark, 22 Tompkins Street, Waterbury, CT 06708-1458 Ph: (203) 419-0381 | Michael Clark, 84 Oxford Road, Oxford, CT 06478-1971 Ph: (203) 881-0830 |
Jessica A Suomala, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 144 Oxford Rd, Oxford, CT 06478 Phone: 203-881-5266 Fax: 203-881-5264 | |
Benchmark Pediatric Rehabilitation Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Cortland Pl, Oxford, CT 06478 Phone: 203-257-7322 | |
Dr. Marcelina G Fernandes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Cortland Pl, Oxford, CT 06478 Phone: 203-257-7322 |