Active NPIIndividual provider

Mrs. Kristy M Clark, OT

Occupational Therapist, Pediatrics in Nashua, New Hampshire

NPI Number1730259342
Practice location
144 Canal Street, Nashua, NH 03064
Fax
603-889-5460
Last updated
July 8, 2007

Kristy May Clark is an Occupational Therapist, Pediatrics based in Nashua, NH. Kristy May Clark practices in Nashua, NH and has the professional credentials of OT. The NPI Number for Kristy May Clark is 1730259342 and holds a License No. 1582 (NH). The current practice location address for Kristy May Clark is 144 Canal Street, Nashua, NH 03064 and can be reached out via phone at 603-882-6333 and via fax at 603-889-5460.

Provider Profile Details

NPI Number
1730259342
Provider Name
Kristy May Clark
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
144 Canal Street, Nashua, NH 03064
Phone Number
603-882-6333
Fax Number
603-889-5460
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Other Names
Mrs. Kristy May Dejnak, OT (Former Name)
Provider Enumeration Date
November 9, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Canal Street
Nashua, NH 03064
City
Nashua
Zip
03064
Phone Number
603-882-6333
Fax Number
603-889-5460
Nashua, NH 03064Get directions →

Provider Business Mailing Address Details

Address
144 Canal Street
Nashua, NH 03064
City
Nashua
State
NH
Zip
03064
Phone Number
603-882-6333
Fax Number
603-889-5460

License Information

License Number
1582
License State
NH
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kristy M Clark, OT?

The NPI number of Mrs. Kristy M Clark, OT is 1730259342. It was assigned on November 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristy M Clark, OT?

Mrs. Kristy M Clark, OT is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NH under license number 1582.

Where does Mrs. Kristy M Clark, OT practice?

The practice location is 144 Canal Street, Nashua, NH 03064. The office can be reached at 603-882-6333 (phone) or 603-889-5460 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730259342 directly on the NPPES registry website.

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