Active NPIIndividual provider

Kelly F Clark, OT

Occupational Therapist in Lebanon, New Hampshire

NPI Number1760555809
Practice location
33 Morgan Dr, Lebanon, NH 03766-1408
Fax
603-643-0022
Last updated
December 1, 2011

Kelly Fisher Clark is an Occupational Therapist based in Lebanon, NH. Kelly Fisher Clark practices in Lebanon, NH and has the professional credentials of OT. The NPI Number for Kelly Fisher Clark is 1760555809 and holds a License No. NH1806 (NH). The current practice location address for Kelly Fisher Clark is 33 Morgan Dr, Lebanon, NH 03766-1408 and can be reached out via phone at 603-643-7788 and via fax at 603-643-0022.

Provider Profile Details

NPI Number
1760555809
Provider Name
Kelly Fisher Clark
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
33 Morgan Dr, Lebanon, NH 03766-1408
Phone Number
603-643-7788
Fax Number
603-643-0022
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
-- Kelly Marie Fisher, OT (Former Name)
Provider Enumeration Date
November 16, 2006
Last Update Date
December 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Morgan Dr
Lebanon, NH 03766-1408
Zip
03766-1408
Phone Number
603-643-7788
Fax Number
603-643-0022
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
33 Morgan Dr
Lebanon, NH 03766-1408
City
Lebanon
State
NH
Zip
03766-1408
Phone Number
603-643-7788
Fax Number
603-643-0022

License Information

License Number
NH1806
License State
NH
Taxonomy
Occupational Therapist · 225X00000X · 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 Kelly F Clark, OT?

The NPI number of Kelly F Clark, OT is 1760555809. It was assigned on November 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Kelly F Clark, OT?

Kelly F Clark, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NH under license number NH1806.

Where does Kelly F Clark, OT practice?

The practice location is 33 Morgan Dr, Lebanon, NH 03766-1408. The office can be reached at 603-643-7788 (phone) or 603-643-0022 (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 1760555809 directly on the NPPES registry website.

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