Individual
DENISE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1101 S SCOTT RD, SAINT JOHNS, MI 48879-8044
(989) 224-8936
Mailing address
3085 N KREPPS RD, SAINT JOHNS, MI 48879-9048
(989) 292-2691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007046
MI
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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