Clark, Carol Shelby
Clark, Carol Shelby is an individual health care provider with primary practice located at 1647 Mallory Ln Suite 103, Brentwood TN 37027-2909. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Clark, Carol Shelby can be contacted via phone (615) 661-5437.Contact Information
Primary practice address
1647 Mallory Ln Suite 103
Brentwood TN 37027-2909
Phone: (615) 661-5437
Fax: (615) 277-2838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3421 | Tennessee |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3421 | Tennessee |
Profile Details
| NPI number | 1053343681 |
|---|---|
| LBN Legal business name | Clark, Carol Shelby |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 28th, 2009 - about 17 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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