CLARK ORTHOTIC SERVICES INC. NPI 1629258140

NPI Information

CLARK ORTHOTIC SERVICES, INC. is a specialist in Columbus, OH. The provider is 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. CLARK ORTHOTIC SERVICES, INC. NPI is 1629258140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6315 E BROAD ST
COLUMBUS, OH
ZIP 43213-506
Phone: (614) 863-6900
Fax: (614) 863-8787

The provider's authorized official is Kathleen Simmons .
The authorized official title is Owner and has the following contact phone number (614) 863-6900.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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