Clark, Sara

Clark, Sara is an individual health care provider with primary practice located at 1005 N Hickory Rd , South Bend IN 46615-3723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clark, Sara can be contacted via phone (574) 233-5754.

Contact Information

Primary practice address
1005 N Hickory Rd South Bend IN 46615-3723
Phone: (574) 233-5754
Fax: (574) 233-7406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06002650A Indiana

Profile Details

NPI number 1033202619
LBN Legal business name Clark, Sara
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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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