Individual
MRS. MICHELLE T CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
889 N AURORA RD, AURORA, OH 44202-9537
(330) 954-7177
(330) 995-8279
Mailing address
889 N AURORA RD, AURORA, OH 44202-9537
(330) 954-7177
(330) 995-8279
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002596
OH
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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