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:
Health care specialties
| Specialty | Code | License # | 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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