Carrie Clark
Physical Therapy Assistant
586 Lone Tree Dr
Mt Pleasant
, South Carolina 29464-8170
Carrie Clark
Physical Therapy Assistant
586 Lone Tree Dr
Mt Pleasant
, South Carolina 29464-8170
(630) 296-2223
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Carrie Clark
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Phone : (630) 296-2223
Second Address
- Carrie Clark
- 586 Lone Tree Dr
- Mt Pleasant, SC
- Zip : 29464-8170
- Fax : (843) 884-6635
- Phone : (843) 884-7880
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 3536 | SC |
National Provider Identifier
| NPI | 1013368133 |
|---|---|
| Provider Name | Carrie Clark |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Mt Pleasant, SC 29464-8170 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2016 |
| Last Update Date | 30/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.