Clark, Karen Danielle
Clark, Karen Danielle is an individual health care provider with primary practice located at 650 E Indian School Rd , Phoenix AZ 85012-1839. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Clark, Karen Danielle can be contacted via phone (602) 277-5551.Contact Information
Primary practice address
650 E Indian School Rd
Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 225800000X |
Profile Details
| NPI number | 1174826580 |
|---|---|
| LBN Legal business name | Clark, Karen Danielle |
| Credentials | CTRS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2010 |
| Last updated | Dec 8th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174826580 | NPPES |
| Other | 40919 | NCTRC |
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