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Michael Clark, PT
Orthopedic Physical Therapist in Fairhope, Alabama
NPI 1336147289

Michael Clark is a Orthopedic Physical Therapist based in Fairhope, AL and is specialized in Orthopedic. Michael Clark practices in Fairhope, AL and has the professional credentials of PT. The NPI Number for Michael Clark is 1336147289 and holds a License No. PTH2465 (Alabama).

The current practice location address for Michael Clark is 341 Greeno Road, Fairhope, AL and can be reached out via phone at 251-928-2401 and via fax at 251-928-5099.

Location: 341 Greeno Road, Fairhope, AL, 36533-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336147289
Provider Name
Michael Clark
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
341 Greeno Road, Fairhope, AL, 36533-1186
Phone Number
251-928-2401
Fax Number
251-928-5099
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051077610 01 AL BCBS
890006680 05 AL
institution
Provider Business Practice Location Address Details
Address
341 Greeno Road
City
Fairhope
State
Alabama
Zip
36532
Phone Number
251-928-2401
Fax Number
251-928-5099
person
Provider Business Mailing Address Details
Address
341 Greeno Road
City
Fairhope
State
Alabama
Zip
36532
Phone Number
251-928-2401
Fax Number
251-928-5099
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PTH2465 (Alabama)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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