Individual
DEJANEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(323) 341-5580
Mailing address
1000 S FREMONT AVE UNIT 27, ALHAMBRA, CA 91803-8849
(323) 341-5580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25882
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2022
Last updated
10/02/2024
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