Clark, Alicia
Clark, Alicia is an individual health care provider with primary practice located at 900 Round Valley Dr , Park City UT 84060-7552. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clark, Alicia can be contacted via phone (435) 658-7000.Contact Information
Primary practice address
900 Round Valley Dr
Park City UT 84060-7552
Phone: (435) 658-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 12326251-4201 | Utah |
Profile Details
| NPI number | 1790441798 |
|---|---|
| LBN Legal business name | Clark, Alicia |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2021 |
| Last updated | Oct 5th, 2022 - about 3 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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