Clark, Stephen B

Clark, Stephen B is an sole proprietor health care provider with primary practice located at 369 Huntington Ave , Boston MA 02115-4402. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Clark, Stephen B can be contacted via phone (617) 399-7330.

Contact Information

Primary practice address
369 Huntington Ave Boston MA 02115-4402
Phone: (617) 399-7330
Fax: (617) 399-7331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT1646 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL20174 Massachusetts

Profile Details

NPI number 1396000998
LBN Legal business name Clark, Stephen B
Credentials DPT, MS, ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2012
Last updated Feb 6th, 2024 - about 2 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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