NPI 1073795506

Kristine J. Clark, OTC

Practitioner Other Specialist/Technologist Appleton, WI

Practice location

Address: Valley Orthopedic Clinic Sc 2105 E Enterprise Ave., STE 111, Appleton, WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1073795506
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2007
Record last updated: 27 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.