Clark, Susan Jane

Clark, Susan Jane is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 2Nd Floor, Redwood City CA 94063-3132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Clark, Susan Jane can be contacted via phone (650) 721-7682.

Contact Information

Primary practice address
450 Broadway St Pavilion A, 2Nd Floor Redwood City CA 94063-3132
Phone: (650) 721-7682
Fax: (650) 721-3423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT3169 California

Profile Details

NPI number 1508994658
LBN Legal business name Clark, Susan Jane
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 23rd, 2009 - about 17 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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