Individual
MS. DIANA MARIE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
420 N UNIVERSITY ST, MURFREESBORO, TN 37130-3931
(615) 893-2619
Mailing address
1463 KINGWOOD LN, ROCKVALE, TN 37153-4078
(615) 907-8008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1033
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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