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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376556399 NPPES
Arkansas Other 0581 LICENSE #
Arkansas Other 5501013139 LICENSE #

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