Clark, Keta O'Neal

Clark, Keta O'Neal is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. 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, Keta O'Neal can be contacted via phone (802) 847-1902.

Contact Information

Primary practice address
790 College Pkwy Colchester VT 05446-3007
Phone: (802) 847-1902
Fax: (802) 847-7963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 040-0003350 Vermont

Profile Details

NPI number 1093757213
LBN Legal business name Clark, Keta O'Neal
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 30th, 2020 - about 5 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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