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Vicki Clark, PT
Specialist in Bethel, Connecticut
NPI 1972990349

Vicki Clark is a Specialist based in Newtown, CT. Vicki Clark practices in Bethel, CT and has the professional credentials of PT. The NPI Number for Vicki Clark is 1972990349 and holds a License No. 004289 (Connecticut).

The current practice location address for Vicki Clark is 13 Park Lawn Dr, Bethel, CT and can be reached out via phone at 203-830-4180.

Location: 13 Park Lawn Dr, Bethel, CT, 06470-2360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972990349
Provider Name
Vicki Clark
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
13 Park Lawn Dr, Bethel, CT, 06470-2360
Phone Number
203-830-4180
Fax Number
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13 Park Lawn Dr
City
Bethel
State
Connecticut
Zip
06801-1043
Phone Number
203-830-4180
Fax Number
person
Provider Business Mailing Address Details
Address
13 Park Lawn Dr
City
Bethel
State
Connecticut
Zip
06801-1043
Phone Number
203-830-4180
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
004289 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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