Krystal Clark in Dallas - Occupational Therapy Assistant
Krystal Clark - NPI 1881868941
Krystal Clark is a Occupational Therapy Assistant in Dallas, Texas. Krystal Clark practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Krystal Clark is 1881868941. The last update date is 2008-04-18.
Krystal Clark's current location address is 9441 Lbj Fwy, Dallas, Texas. You can contact this provider via phone number 2145759820. The mailing address for Krystal Clark is 9441 Lbj Fwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krystal Clark |
|---|---|
| Address | 9441 Lbj Fwy, Dallas, Texas |
| Phone Number | 2145759820 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881868941 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 9441 Lbj Fwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752434545 |
| Phone Number | 2145759820 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 209906 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique identification code assigned to Krystal Clark by the Centers for Medicare & Medicaid Services?
The Krystal Clark has been issued the NPI (National Provider Identifier) 1881868941. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Krystal Clark located?
The Krystal Clark is located at 9441 Lbj Fwy, Dallas, TX 752434545.
What is Krystal Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Krystal Clark is Occupational Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881868941 to Krystal Clark?
The Krystal Clark received its 1881868941 assignment from the Centers for Medicare & Medicaid Services on 2008-04-18.
When was the information pertaining to Krystal Clark most recently updated or revised?
The details related to Krystal Clark, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-18.