Clark, Nicole Lee

Clark, Nicole Lee is an individual health care provider with primary practice located at 1709 10Th St , Wichita Falls TX 76301-5010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Nicole Lee can be contacted via phone (940) 257-8358.

Contact Information

Primary practice address
1709 10Th St Wichita Falls TX 76301-5010
Phone: (940) 257-8358
Fax: (940) 696-6210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1164168308
LBN Legal business name Clark, Nicole Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2022
Last updated May 10th, 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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