Individual
MIKAYLA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 WILBRAHAM RD, SPRINGFIELD, MA 01109-2067
(413) 355-5854
Mailing address
84 SESSIONS DR, HAMPDEN, MA 01036-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL36385
MA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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