Kelly Fisher Clark in Lebanon - Occupational Therapist
Kelly Fisher Clark - NPI 1760555809
Kelly Fisher Clark is a Occupational Therapist in Lebanon, New Hampshire. Kelly Fisher Clark practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kelly Fisher Clark is 1760555809. The last update date is 2011-12-01.
Kelly Fisher Clark's current location address is 33 Morgan Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036437788 and fax number 6036430022. The mailing address for Kelly Fisher Clark is 33 Morgan Dr, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Fisher Clark |
|---|---|
| Address | 33 Morgan Dr, Lebanon, New Hampshire |
| Phone Number | 6036437788 |
| Fax Number | 6036430022 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1760555809 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 33 Morgan Dr |
|---|---|
| City | Lebanon |
| State | New Hampshire (NH) |
| Post Code | 37661408 |
| Phone Number | 6036437788 |
| Fax Number | 6036430022 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | NH1806 |
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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 |
|---|---|---|---|
| 30414483 | NH | -- | |
| 1012138 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Fisher Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Fisher Clark has been assigned the NPI (National Provider Identifier) 1760555809. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kelly Fisher Clark?
The Kelly Fisher Clark is physically situated at 33 Morgan Dr, in the city of Lebanon, state of NH, with the postal code 37661408.
What is the Kelly Fisher Clark's area of specialization and corresponding taxonomy classification?
The Kelly Fisher Clark's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760555809 to Kelly Fisher Clark?
The Centers for Medicare & Medicaid Services originally issued the 1760555809 to Kelly Fisher Clark on 2006-11-16.
As of what date were the details pertaining to Kelly Fisher Clark last refreshed?
The information related to the Kelly Fisher Clark, including its address, specialty, and other relevant details, was last updated on 2011-12-01.