Individual
EMILY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
77 ADMIRAL RD, BUFFALO, NY 14216-2509
(315) 404-4571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020810-1
NY
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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