NPI 1841537990

Susan Noble Clark

Practitioner Developmental Therapist Montgomery, AL

Practice location

Address: 1730 Radcliffe Rd, Montgomery, AL 36106-2620
Phone: (334) 279-0684

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 222Q00000X (AL)

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Registry record

NPI: 1841537990
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2013
Record last updated: 9 Jan 2013

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.