Individual provider · Type 1 NPI

Vicki Clark, P.T.

Specialist · Bethel, CT

NPI number 1972990349 Active

Practice location

13 Park Lawn Dr
Bethel, CT 06801-1043

Mailing address

68 Mile Hill Rd S
Newtown, CT 06470-2360

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X004289 (CT)

Specialist: 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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About NPI 1972990349

Vicki Clark, P.T.'s National Provider Identifier is 1972990349, issued on Apr 23, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bethel, CT. The record was last updated on Apr 23, 2015.