Individual
CLAYTON ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
1341 PARADISE RD, EDENTON, NC 27932-8503
(252) 482-3820
Mailing address
135 TIP TOE RD, EDENTON, NC 27932-9598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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