Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COLIE BOB CLARK JR., BS, CCP, LP
Active Sole ProprietorMR. COLIE BOB CLARK JR., BS, CCP, LP is a Orthotic Fitter healthcare provider located in HILLSBOROUGH, North Carolina. NPI 1740452218 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · HILLSBOROUGH, NC
Registration Details
- NPI Number
- 1740452218
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2008 (18.42036653856 yrs)
- Last Updated
- Mar 25, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
3101 CARRIAGE TRLHILLSBOROUGH, NC, 272788508Browse NC providers · Browse ZIP 27278
- Phone
- 9198803688
- Primary Specialty
-
Orthotic Fitter
242T00000X
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.