Individual
ANNE NAOMI CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
327 NORTH FIR STREET, APT C, TELLURIDE, CO 81435-4016
(970) 404-0130
Mailing address
PO BOX 4016, TELLURIDE, CO 81435-4016
(970) 404-0130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2635
CO
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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