IndividualActive
Carmen Clark
NPI 1124463450 · Developmental Therapist · Crestwood, KY
Provider details
- NPI number
- 1124463450
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
7302 Meadow Rd
Crestwood, KY 40014-9453
Registry dates
- Enumerated
- 2013-04-30
- Last updated
- 2013-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.