Individual
MELISSA LYNN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 419-3592
Mailing address
P.O. BOX 66, CASTALIA, IA 52133
(563) 419-3592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001975
IA
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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