Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
GABRIEL M CLARK
Active
Individual
GABRIEL M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011347
OH
225X00000X
Occupational Therapist
OT 5940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225100000X
TAXONOMY CODE
OH
Enumeration date
02/15/2006
Last updated
09/08/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up