Individual
MRS. EMILEE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.OTR/L
Contact information
Practice address
3043 VILLA DR, MOBILE, AL 36695-9717
(251) 375-4879
Mailing address
3043 VILLA DR, MOBILE, AL 36695-9717
(251) 375-4879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3566
AL
Other
Enumeration date
02/10/2013
Last updated
06/20/2014
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