Individual
MS. KELSEY NICHOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
Mailing address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1406
WV
Other
Enumeration date
04/18/2011
Last updated
08/15/2024
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