Threese Clark, is a
Occupational Therapist based in Prospect, Virginia. Threese Clark is licensed to practice in Virginia (license number 0119003695) and her current practice location is
36 Old Oak Rd, Prospect, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 391-9950.
NPI number for Threese Clark is 1518386382 and her current mailing address is 36 Old Oak Rd, Prospect, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518386382.
Healthcare Provider's Profile
Full Name | Threese Clark |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 36 Old Oak Rd, Prospect, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518386382
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 04/09/2014
Medical Identifiers
Medical identifiers for Threese Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518386382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0119003695 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Threese Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Threese Clark, 36 Old Oak Rd, Prospect, VA 23960-7925 Ph: (434) 391-9950 | Threese Clark, 36 Old Oak Rd, Prospect, VA 23960-7925 Ph: (434) 391-9950 |
Reviews and Comments