Active NPIIndividual provider

Victoria M Clark, PT, DPT, OCS

Physical Therapist in Caribou, Maine

NPI Number1922640101
Practice location
163 Van Buren RD, Caribou, ME 04736-3567
Fax
207-498-1653
Last updated
November 29, 2024

Victoria Marilyn Clark is a Physical Therapist based in Caribou, ME. Victoria Marilyn Clark practices in Caribou, ME and has the professional credentials of PT, DPT, OCS. The NPI Number for Victoria Marilyn Clark is 1922640101 and holds a License No. PT5388 (ME). The current practice location address for Victoria Marilyn Clark is 163 Van Buren RD, Caribou, ME 04736-3567 and can be reached out via phone at 207-498-1618 and via fax at 207-498-1653.

Provider Profile Details

NPI Number
1922640101
Provider Name
Victoria Marilyn Clark
Credential
PT, DPT, OCS
Provider Entity Type
Individual
Gender
Female
Address
163 Van Buren RD, Caribou, ME 04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2019
Last Update Date
November 29, 2024
Certification Date
November 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Van Buren RD
Caribou, ME 04736-3567
State
Maine
Zip
04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653
Caribou, ME 04736Get directions →

Provider Business Mailing Address Details

Address
163 Van Buren RD Ste 1
Caribou, ME 04736-3567
City
Caribou
State
ME
Zip
04736-3567
Phone Number
207-498-1618
Fax Number
207-498-1653

License Information

License Number
PT5388
License State
ME
Taxonomy
Physical Therapist · 225100000X · 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 Victoria M Clark, PT, DPT, OCS?

The NPI number of Victoria M Clark, PT, DPT, OCS is 1922640101. It was assigned on October 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Victoria M Clark, PT, DPT, OCS?

Victoria M Clark, PT, DPT, OCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in ME under license number PT5388.

Where does Victoria M Clark, PT, DPT, OCS practice?

The practice location is 163 Van Buren RD, Caribou, ME 04736-3567. The office can be reached at 207-498-1618 (phone) or 207-498-1653 (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 1922640101 directly on the NPPES registry website.

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