Clark, Dusti

Clark, Dusti is an sole proprietor health care provider with primary practice located at 206 Maryland Ave , Mccomb MS 39648-3926. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Clark, Dusti can be contacted via phone (601) 250-4815.

Contact Information

Primary practice address
206 Maryland Ave Mccomb MS 39648-3926
Phone: (601) 250-4815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X TA1659 Mississippi

Profile Details

NPI number 1568659647
LBN Legal business name Clark, Dusti
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 19 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.

Request for update

Popular Providers