DE'ATRA CLARK, OT
Occupational Therapist
Active
Individual
NPI: 1164427209
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT0007576 (FL) |
Frequently Asked Questions
NPI 1164427209 is the National Provider Identifier for DE'ATRA CLARK, OT, a Occupational Therapist provider located in Jacksonville, FL. This NPI was enumerated on June 16, 2005.
DE'ATRA CLARK, OT practices at 1325 SAN MARCO BLVD, STE 102, Jacksonville, FL 32207.
Quick Facts
- NPI
- 1164427209
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Jul 8, 2007
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