Individual
JANNETT LEWIS-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLT
Contact information
Practice address
74240 TALLASSEE HWY, WETUMPKA, AL 36092-5504
(334) 514-4488
(344) 514-4424
Mailing address
125 9TH ST, MIDFIELD, AL 35228-1939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0396
AL
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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