Individual
MELISSA B CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE A, BIRMINGHAM, AL 35205-1636
(205) 212-9435
(205) 212-3299
Mailing address
335 ROSELANE ST NW, SUITE 201, MARIETTA, GA 30060-7902
(470) 259-5226
(267) 321-2044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3881
AL
Other
Enumeration date
05/05/2006
Last updated
12/11/2015
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