Clark, Terri
Clark, Terri is an individual health care provider with primary practice located at 3331 S State St , Saint Joseph MI 49085-2458. 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, Terri can be contacted via phone (269) 982-1706.Contact Information
Primary practice address
3331 S State St
Saint Joseph MI 49085-2458
Phone: (269) 982-1706
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1376556399 |
|---|---|
| LBN Legal business name | Clark, Terri |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Sep 10th, 2008 - about 18 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 | 1376556399 | NPPES |
| Arkansas | Other | 0581 | LICENSE # |
| Arkansas | Other | 5501013139 | LICENSE # |
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