Individual
RUTH CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 MAIN ST, HOLBROOK, NY 11741-1604
(516) 652-4875
Mailing address
7 BAYBERRY CT, HOLTSVILLE, NY 11742-2523
(516) 652-4875
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6989-1
NY
Other
Enumeration date
03/14/2007
Last updated
09/23/2023
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