Vicki Clark, PT
Specialist in Bethel, Connecticut
1972990349- Practice location
- 13 Park Lawn Dr, Bethel, CT 06801-1043
- Phone
- 203-830-4180
- Fax
- —
- Last updated
- April 23, 2015
Vicki Clark is a Specialist based in Bethel, 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 (CT). The current practice location address for Vicki Clark is 13 Park Lawn Dr, Bethel, CT 06801-1043 and can be reached out via phone at 203-830-4180.
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 06801-1043
- Phone Number
- 203-830-4180
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 23, 2015
- Last Update Date
- April 23, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Park Lawn Dr
Bethel, CT 06801-1043 - City
- Bethel
- State
- Connecticut
- Zip
- 06801-1043
- Phone Number
- 203-830-4180
Provider Business Mailing Address Details
- Address
- 68 Mile Hill RD S
Newtown, CT 06470-2360 - City
- Newtown
- State
- CT
- Zip
- 06470-2360
- Phone Number
- 203-426-6001
License Information
- License Number
- 004289
- License State
- CT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Vicki Clark, PT?
The NPI number of Vicki Clark, PT is 1972990349. It was assigned on April 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Vicki Clark, PT?
Vicki Clark, PT is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 004289.
Where does Vicki Clark, PT practice?
The practice location is 13 Park Lawn Dr, Bethel, CT 06801-1043. The office can be reached at 203-830-4180 (phone).
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 1972990349 directly on the NPPES registry website.