Clark, Megan

Clark, Megan is an sole proprietor health care provider with primary practice located at 7130 Gormel Dr , Springfield VA 22150-3121. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Clark, Megan can be contacted via phone (703) 434-2316.

Contact Information

Primary practice address
7130 Gormel Dr Springfield VA 22150-3121
Phone: (703) 434-2316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X OT010001159 District of Columbia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 0119005898 Virginia

Profile Details

NPI number 1831674241
LBN Legal business name Clark, Megan
Credentials OTR/L, CNT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2018
Last updated Feb 13th, 2023 - about 2 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 1831674241 NPPES
Virginia Other 0119005898 OT LICENSE VA
Virginia Other OT010001159 OT LICENSE VA

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