Individual
MRS. JULIA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
621 HIGH RIDGE RD, ROSELLE, IL 60172-1407
(708) 334-1095
(855) 834-3810
Mailing address
621 HIGH RIDGE RD, ROSELLE, IL 60172-1407
(708) 334-1095
(855) 834-3810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007110
IL
Other
Enumeration date
12/06/2006
Last updated
05/23/2013
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