Melissa A Clark
Medical Specialty
Professional ID
- NPI: 1801150909
- PECOS ID: 8224322995
- Enrollment ID: I20160803003092
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2015
Medical Practices
- Organization Name: 360 Physical Therapy Llc
- Group Practice ID assigned by PECOS: 1355237645
- Number of Group Practice member: 88
Location
- Address1: 1076 W Chandler Blvd
- Address2: Suite 103
- City: Chandler
- State: Arizona
- Zip Code: 85224
- Phone Number: (480)821-1997
Location
- Address1: 4210 E Baseline Rd
- Address2: 106 360 Physical Therapy
- City: Mesa
- State: Arizona
- Zip Code: 85206
- Phone Number: (480)503-2375
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):