NPI 1174826580
Karen Danielle Clark, CTRS
Practice location
- Address
- 650 E Indian School Rd, Phoenix, AZ 85012-1839
- Phone
- (602) 277-5551
- Mailing address
- 5238 West Cinnabar Avenue, Glendale, AZ 85302
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1174826580
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Dec 2010
- Record last updated
- 8 Dec 2010
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.