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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSANNA CLARK, PT, DPT, OCS

Active Sole Proprietor

DR. SUSANNA CLARK, PT, DPT, OCS is a Physical Therapy Assistant healthcare provider located in LONE TREE, Colorado. NPI 1366713521 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LONE TREE, CO

Registration Details

NPI Number
1366713521
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2012 (14.530783621582 yrs)
Last Updated
Jun 25, 2019
Licenses
PTL0013866 (CO)
PT010027 (GA)
Sole Proprietor
Yes

Practice Information

Address
10450 PARK MEADOWS DR STE 103
LONE TREE, CO, 801245528
Browse CO providers · Browse ZIP 80124
Phone
3037907877
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LONE TREE, CO

Name Credential NPI
MR. PETER C VANDOREN PT 1649269432
ERIC WAYNE KRELL PT, MTC 1154375749
ANDREW C SNOW PT 1598719486
MR. KEITH LARSON PT 1013931021
MR. GREGORY MESA PT 1275541708
RAYMOND JESSE IBARRA P.T. 1316008915
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.