Individual
MONICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
502 4TH ST NE, AUBURN, WA 98002-5020
(253) 931-4927
Mailing address
29610 114TH AVE SE, AUBURN, WA 98092-2564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00003694
WA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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