Courtney Clark, PT, DPT is a
Physical Medicine & Rehabilitation physician based in Brunswick, Ohio. Courtney Clark is licensed to practice in Ohio (license number 016930) and her current practice location is 3574 Center Rd, Brunswick, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 741-7183.
NPI number for Courtney Clark is 1720615008 and her current mailing address is 3574 Center Rd, Brunswick, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720615008.
Physician's Profile
| Full Name | Courtney Clark |
|---|
| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 3574 Center Rd, Brunswick, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720615008
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 03/25/2020
Medical Identifiers
Medical identifiers for Courtney Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720615008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 016930 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Courtney Clark, PT, DPT
3574 Center Rd,
Brunswick, OH 44212-3618
Ph: () - | Courtney Clark, PT, DPT
3574 Center Rd,
Brunswick, OH 44212-3618
Ph: (330) 741-7183 |
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