Organization
CLARK ORTHOTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SIMMONS CO, LO (OWNER)
(614) 863-6900
Entity
Organization
Contact information
Practice address
6315 E BROAD ST, COLUMBUS, OH 43213-1506
(614) 863-6900
(614) 863-8787
Mailing address
6315 E BROAD ST, COLUMBUS, OH 43213-1506
(614) 863-6900
(614) 863-8787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192
OH
Other
Enumeration date
11/13/2007
Last updated
11/14/2007
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