Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THREESE CLARK
Active Sole ProprietorTHREESE CLARK is a Occupational Therapist healthcare provider located in PROSPECT, Virginia. NPI 1518386382 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PROSPECT, VA
Registration Details
- NPI Number
- 1518386382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2014 (12.341756942892 yrs)
- Last Updated
- Apr 9, 2014
- License
-
0119003695 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36 OLD OAK RDPROSPECT, VA, 239607925Browse VA providers · Browse ZIP 23960
- Phone
- 4343919950
- Primary Specialty
-
Occupational Therapist
225X00000X
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.