Individual
JAMESHIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E HOWRY AVE, DELAND, FL 32724-5400
(386) 822-6900
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11953
FL
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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