Individual
AMY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2770 JUNIPER DR, BATESVILLE, AR 72501-7801
(479) 871-1130
Mailing address
2770 JUNIPER DR, BATESVILLE, AR 72501-7801
(479) 871-1130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A807
AR
Other
Enumeration date
06/10/2010
Last updated
07/20/2016
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