Clark, Traci D

Clark, Traci D is an individual health care provider with primary practice located at 910 W Walnut St , Albany IN 47320-1530. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Clark, Traci D can be contacted via phone (765) 789-2000.

Contact Information

Primary practice address
910 W Walnut St Albany IN 47320-1530
Phone: (765) 789-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X Indiana

Profile Details

NPI number 1447471735
LBN Legal business name Clark, Traci D
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers