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Individual

MRS. CINDY CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
10420 BARTON ST, OVERLAND PARK, KS 66214-3009
(913) 322-2987
Mailing address
10420 BARTON ST, OVERLAND PARK, KS 66214-3009
(913) 322-2987

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004730
MO
224Z00000X
Occupational Therapy Assistant
18-00598
KS

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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