Susan C Clark, | |
705 N Mountain Rd, Suite A-212, Newington, CT 06111-1412 | |
(860) 953-0676 | |
Not Available |
Full Name | Susan C Clark |
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Gender | Female |
Speciality | Physical Therapist |
Location | 705 N Mountain Rd, Newington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326063603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3141 (Connecticut) | Primary |
Provider Name | Access Physical Therapy & Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659819241 PECOS PAC ID: 8426317595 Enrollment ID: O20180117002504 |
Mailing Address | Practice Location Address |
---|---|
Susan C Clark, 19 Central St, Suite H, Byfield, MA 01922-1233 Ph: (978) 462-4500 | Susan C Clark, 705 N Mountain Rd, Suite A-212, Newington, CT 06111-1412 Ph: (860) 953-0676 |
4x4 Fitness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Jacobs Ln, Newington, CT 06111 Phone: 860-597-2998 | |
Kayla Gomes, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Willard Ave, Newington, CT 06111 Phone: 860-666-6951 | |
Kyle Wolf, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Market Sq, Newington, CT 06111 Phone: 860-881-2928 | |
Brian Pawlow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416 | |
Sean Gray, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416 | |
Marci Zannotti, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416 | |
Dana Edwards, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 Phone: 860-667-5449 Fax: 860-667-8416 |