Individual
JULIANA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1066 OLD STATE RD N, NORWALK, OH 44857-9372
(330) 498-8200
Mailing address
1066 OLD STATE RD N, NORWALK, OH 44857-9372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 03727
OH
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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