Individual
JENNIFER G CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
108 MYRTLE RIDGE RD, LUTZ, FL 33549-5645
(813) 803-3470
Mailing address
4548 BRAESGATE CT, LAND O LAKES, FL 34639-6440
(813) 337-9458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26023
FL
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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