Kristina Kehoskie Clark
Physical Therapist - Geriatrics
117 Bennoch Rd
Orono
, Maine 04473-3620
Kristina Kehoskie Clark
Physical Therapist - Geriatrics
117 Bennoch Rd
Orono
, Maine 04473-3620
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Kristina Kehoskie Clark
- 185 Old Military Rd
- Lake Placid, NY
- Zip : 12946-1939
- Phone :
Second Address
- Kristina Kehoskie Clark
- 117 Bennoch Rd
- Orono, ME
- Zip : 04473-3620
- Phone : (207) 866-0532
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Is Kristina Kehoskie Clark a sole practitioner?
Is Kristina Kehoskie Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 039523 | NY |
National Provider Identifier
| NPI | 1164706586 |
|---|---|
| Provider Name | Kristina Kehoskie Clark |
| First Address | Lake Placid, NY 12946-1939 |
| Second Address | Orono, ME 04473-3620 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2011 |
| Last Update Date | 07/12/2016 |
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.