Gabriel M Clark in Temple Terrace - Occupational Therapist
Gabriel M Clark - NPI 1336113497
Gabriel M Clark is a Occupational Therapist in Temple Terrace, Florida. Gabriel M Clark practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Gabriel M Clark is 1336113497. The last update date is 2015-09-08.
Gabriel M Clark's current location address is 13020 N Telecom Pkwy, Temple Terrace, Florida. You can contact this provider via phone number 8139789700 and fax number 8135586187. The mailing address for Gabriel M Clark is 13020 N Telecom Pkwy, Temple Terrace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gabriel M Clark |
|---|---|
| Address | 13020 N Telecom Pkwy, Temple Terrace, Florida |
| Phone Number | 8139789700 |
| Fax Number | 8135586187 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1336113497 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2015-09-08 |
Provider Mailing Address Detail
| Address | 13020 N Telecom Pkwy |
|---|---|
| City | Temple Terrace |
| State | Florida (FL) |
| Post Code | 336370925 |
| Phone Number | 8139789700 |
| Fax Number | 8135586187 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 5940 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 225100000X | OH | TAXONOMY CODE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gabriel M Clark by the Centers for Medicare & Medicaid Services?
The Gabriel M Clark has been issued the NPI (National Provider Identifier) 1336113497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gabriel M Clark's physical address?
The Gabriel M Clark is physically located at 13020 N Telecom Pkwy, in the city of Temple Terrace, FL, with the postal code 336370925.
What is the Gabriel M Clark's specialty and taxonomy code?
The Gabriel M Clark's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date was the 1336113497 assigned to Gabriel M Clark?
The Gabriel M Clark was issued its 1336113497 on 2006-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gabriel M Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gabriel M Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-08.