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Individual
MEGAN CLARK
Active
Individual
MEGAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CNT
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119005898
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT010001159
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119005898
OT LICENSE VA
VA
01
—
OT010001159
OT LICENSE DC
DC
Enumeration date
10/02/2018
Last updated
02/13/2023
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