WANDA CLARK, OTA
Occupational Therapy Assistant
Active
Individual
NPI: 1578764056
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | OTA4733 (FL) |
Frequently Asked Questions
NPI 1578764056 is the National Provider Identifier for WANDA CLARK, OTA, a Occupational Therapy Assistant provider located in Jacksonville, FL. This NPI was enumerated on May 30, 2007.
WANDA CLARK, OTA practices at 1422 SAN MARCO BLVD, Jacksonville, FL 32207.
Quick Facts
- NPI
- 1578764056
- Type
- Individual
- Enumerated
- May 30, 2007
- Last Updated
- Jul 8, 2007
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