Clark, Bethany
Clark, Bethany is an sole proprietor health care provider with primary practice located at 9 Pine Cone Dr Ste 104B , Palm Coast FL 32137-8683. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clark, Bethany can be contacted via phone (386) 446-9716.Contact Information
Primary practice address
9 Pine Cone Dr Ste 104B
Palm Coast FL 32137-8683
Phone: (386) 446-9716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT28112 | Florida |
Profile Details
| NPI number | 1417296260 |
|---|---|
| LBN Legal business name | Clark, Bethany |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2013 |
| Last updated | Apr 29th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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