Clark, Stacy L

Clark, Stacy L is an sole proprietor health care provider with primary practice located at 6290 W Sample Rd , Coral Springs FL 33067-3101. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Clark, Stacy L can be contacted via phone (954) 757-2939.

Contact Information

Primary practice address
6290 W Sample Rd Coral Springs FL 33067-3101
Phone: (954) 757-2939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA48419 Florida

Profile Details

NPI number 1114259637
LBN Legal business name Clark, Stacy L
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2010
Last updated Feb 9th, 2010 - about 14 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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