Mary Martha Clark is a Pediatrics in Anoka, Minnesota. Mary Martha Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Martha Clark is 1740325778. The last update date is 2009-03-25.
Mary Martha Clark's current location address is 616 Park St, Anoka, Minnesota. You can contact this provider via phone number 7633231336. The mailing address for Mary Martha Clark is 616 Park St, Anoka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Martha Clark |
|---|---|
| Address | 616 Park St, Anoka, Minnesota |
| Phone Number | 7633231336 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR-L |
NPI Number Detail
| NPI Number | 1740325778 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 616 Park St |
|---|---|
| City | Anoka |
| State | Minnesota (MN) |
| Post Code | 553031932 |
| Phone Number | 7633231336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 100082 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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What is the unique identification code assigned to Mary Martha Clark by the Centers for Medicare & Medicaid Services?
The Mary Martha Clark has been issued the NPI (National Provider Identifier) 1740325778. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Martha Clark?
The Mary Martha Clark is situated at 616 Park St, in the city of Anoka, state of MN, with the zip code 553031932.
What is Mary Martha Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Martha Clark is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
On what date did the Mary Martha Clark receive its 1740325778 assignment from the Centers for Medicare & Medicaid Services?
The Mary Martha Clark was assigned its 1740325778 by the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information pertaining to Mary Martha Clark most recently updated or revised?
The details related to Mary Martha Clark, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-25.