Lisa R Clark is a Physical Therapist in Charlotte, North Carolina. Lisa R Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lisa R Clark is 1811904378. The last update date is 2007-07-08.
Lisa R Clark's current location address is 101 E Wt Harris Blvd, Charlotte, North Carolina. You can contact this provider via phone number 7045485780 and fax number 7045485876. The mailing address for Lisa R Clark is 101 E Wt Harris Blvd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Clark |
|---|---|
| Address | 101 E Wt Harris Blvd, Charlotte, North Carolina |
| Phone Number | 7045485780 |
| Fax Number | 7045485876 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1811904378 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 101 E Wt Harris Blvd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282623485 |
| Phone Number | 7045485780 |
| Fax Number | 7045485876 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 9754 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7211891 | NY | -- |
Post Comment/ Review Below
What is the Lisa R Clark's unique identification number?
The Lisa R Clark has been assigned the NPI (National Provider Identifier) Number 1811904378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lisa R Clark is located?
The Lisa R Clark is situated at the following address: 101 E Wt Harris Blvd, Charlotte, NC, 282623485.
What is Lisa R Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa R Clark's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
When was the Lisa R Clark's 1811904378 issued?
The Lisa R Clark's 1811904378 was issued on 2006-08-01.
As of what date was the information pertaining to Lisa R Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa R Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.