Keta O'Neal Clark in Colchester - Physical Therapist
Keta O'Neal Clark - NPI 1093757213
Keta O'Neal Clark is a Physical Therapist in Colchester, Vermont. Keta O'Neal Clark practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Keta O'Neal Clark is 1093757213. The last update date is 2020-07-30.
Keta O'Neal Clark's current location address is 790 College Pkwy, Colchester, Vermont. You can contact this provider via phone number 8028471902 and fax number 8028477963. The mailing address for Keta O'Neal Clark is 790 College Pkwy, Colchester, Vermont. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keta O'Neal Clark |
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Address | 790 College Pkwy, Colchester, Vermont |
Phone Number | 8028471902 |
Fax Number | 8028477963 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1093757213 |
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Provider Enumeration Date | 2006-06-12 |
Last Updated Date | 2020-07-30 |
Provider Mailing Address Detail
Address | 790 College Pkwy |
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City | Colchester |
State | Vermont (VT) |
Post Code | 54463007 |
Phone Number | 8028471902 |
Fax Number | 8028477963 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 040-0003350 |
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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What is the unique identifier code issued to Keta O'Neal Clark by the Centers for Medicare & Medicaid Services?
The Keta O'Neal Clark has been assigned the NPI (National Provider Identifier) 1093757213. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Keta O'Neal Clark's physical address?
The Keta O'Neal Clark is physically located at 790 College Pkwy, in the city of Colchester, VT, with the postal code 54463007.
What is Keta O'Neal Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keta O'Neal Clark is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093757213 to Keta O'Neal Clark?
The Centers for Medicare & Medicaid Services originally issued the 1093757213 to Keta O'Neal Clark on 2006-06-12.
As of what date were the details related to Keta O'Neal Clark most recently updated or revised?
The information pertaining to Keta O'Neal Clark, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-30.