Individual
CAROLYN DENBOW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
(678) 261-6421
Mailing address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
(678) 261-6421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003115153A
—
GA
Enumeration date
10/29/2011
Last updated
08/02/2016
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