Clark, Susan L

Clark, Susan L is an individual health care provider with primary practice located at 3019 Coit Ave Ne , Grand Rapids MI 49505-3376. 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, Susan L can be contacted via phone (616) 365-7761.

Contact Information

Primary practice address
3019 Coit Ave Ne Grand Rapids MI 49505-3376
Phone: (616) 365-7761
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502000487 Michigan

Profile Details

NPI number 1023313640
LBN Legal business name Clark, Susan L
Credentials ASSOCIATES DEGREE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2011
Last updated Jan 12th, 2011 - 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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