Individual
MRS. JULIA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3801 OLD BRUCEVILLE RD, TRU REHAB, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Mailing address
3801 OLD BRUCEVILLE RD, TRU REHAB LLC, VINCENNES, IN 47591-3889
(812) 886-4677
(812) 886-4678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002716
IL
Other
Enumeration date
08/13/2012
Last updated
08/14/2012
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