Clark, Susan Jane
Clark, Susan Jane is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 2Nd Floor, Redwood City CA 94063-3132. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Clark, Susan Jane can be contacted via phone (650) 721-7682.Contact Information
Primary practice address
450 Broadway St Pavilion A, 2Nd Floor
Redwood City CA 94063-3132
Phone: (650) 721-7682
Fax: (650) 721-3423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT3169 | California |
Profile Details
| NPI number | 1508994658 |
|---|---|
| LBN Legal business name | Clark, Susan Jane |
| Credentials | OTR/L, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Dec 23rd, 2009 - about 15 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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