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Contact Information

KRISTINA K CLARK
117 BENNOCH RD
ORONO, ME04473-3620
 Phone: 207-866-0532
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTINA K CLARK · (Female)

NPI Number 1164706586
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2011
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 039523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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