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

STEPHEN CLARK

Active

STEPHEN CLARK is a Occupational Therapist healthcare provider located in LOS LUNAS, New Mexico. NPI 1689387805 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LOS LUNAS, NM

Registration Details

NPI Number
1689387805
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2023 (3.6059342714208 yrs)
Last Updated
Jan 3, 2023
License
PTA1502 (NM)

Practice Information

Address
1400 MAIN ST NW STE 1&2
LOS LUNAS, NM, 870314812
Browse NM providers · Browse ZIP 87031
Phone
5058654368
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LOS LUNAS, NM

Name Credential NPI
VALERIE M APODACA 1588210025
FRANCINE MARIE GALLEGOS 1043853591
LEAH RIGDON PTA 1689391740
LEANDRA NICOLE TRUJILLO PTA 1841066727
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.