Individual
LUCRETHIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
810 CARRINGTON GREEN PKWY, MCDONOUGH, GA 30252-7690
(404) 643-7176
Mailing address
810 CARRINGTON GREEN PKWY, MCDONOUGH, GA 30252-7690
(404) 643-7176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 11982
FL
225X00000X
Occupational Therapist
Primary
OT004718
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890831100
—
FL
Enumeration date
09/20/2006
Last updated
01/19/2026
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