Clark, Vicki

Clark, Vicki is an sole proprietor health care provider with primary practice located at 13 Park Lawn Dr , Bethel CT 06801-1043. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Vicki can be contacted via phone (203) 830-4180.

Contact Information

Primary practice address
13 Park Lawn Dr Bethel CT 06801-1043
Phone: (203) 830-4180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 004289 Connecticut

Profile Details

NPI number 1972990349
LBN Legal business name Clark, Vicki
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2015
Last updated Apr 23rd, 2015 - about 10 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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