Clark, Emily

Clark, Emily is an sole proprietor health care provider with primary practice located at 110 Mordington Ave , Charles Town WV 25414-1693. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clark, Emily can be contacted via phone (304) 267-3595.

Contact Information

Primary practice address
110 Mordington Ave Charles Town WV 25414-1693
Phone: (304) 267-3595
Fax: (304) 267-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1889 West Virginia

Profile Details

NPI number 1790295442
LBN Legal business name Clark, Emily
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2017
Last updated Jun 16th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790295442 NPPES
West Virginia Other 1889 WV BOARD OF OCCUPATIONAL THERAPY

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