Clark, Mary Susan

Clark, Mary Susan is an individual health care provider with primary practice located at 46 Millbrook Rd , Stafford VA 22554-5657. 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, Mary Susan can be contacted via phone (540) 226-7996.

Contact Information

Primary practice address
46 Millbrook Rd Stafford VA 22554-5657
Phone: (540) 226-7996
Fax: (540) 657-1095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003184 Virginia

Profile Details

NPI number 1124285069
LBN Legal business name Clark, Mary Susan
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 17 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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