Clark, Gabriel M

Clark, Gabriel M is an individual health care provider with primary practice located at 909 N Dale Mabry Hwy Suite 300, Tampa FL 33609-1251. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Clark, Gabriel M can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
909 N Dale Mabry Hwy Suite 300 Tampa FL 33609-1251
Phone: (813) 978-9700
Fax: (813) 558-6187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT011347 Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 5940 Ohio

Profile Details

NPI number 1336113497
LBN Legal business name Clark, Gabriel M
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 8th, 2015 - about 10 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 1336113497 NPPES
Ohio Other 225100000X TAXONOMY CODE

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