Clark, Kathleen A

Clark, Kathleen A is an individual health care provider with primary practice located at 2700 Keslinger Road Suite C, Geneva IL 60134-4645. 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, Kathleen A can be contacted via phone (630) 262-2633.

Contact Information

Primary practice address
2700 Keslinger Road Suite C Geneva IL 60134-4645
Phone: (630) 262-2633
Fax: (630) 262-2643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070011591 Illinois

Profile Details

NPI number 1174515829
LBN Legal business name Clark, Kathleen A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 5th, 2015 - about 11 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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