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CLARK PHYSICAL THERAPY, P.C.

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Company Details

Name: CLARK PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Oct 2017 (8 years ago)
Entity Number: 5218205
ZIP code: 14580
County: Monroe
Place of Formation: New York
Address: 2115 EMPIRE BOULEVARD, WEBSTER, NY, United States, 14580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2115 EMPIRE BOULEVARD, WEBSTER, NY, United States, 14580

National Provider Identifier

NPI Number:
1124542170

Authorized Person:

Name:
JAMIE CLARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2251S0007X - Sports Physical Therapist
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171016000934 2017-10-16 CERTIFICATE OF INCORPORATION 2017-10-16

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State