Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Clark

Individual provider Physical Therapy Assistant · NPI 1790151256

Carly Clark is a Physical Therapy Assistant in Oswego, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

159 W 1st St
Oswego, NY 13126-2045
Phone: (315) 342-9575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 010006 (NY)

Record details

NPI number1790151256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015
Mailing address1308 Greymoor Way, Baldwinsville, NY 13027-9163

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