Individual
MRS. DENISE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.L.
Contact information
Practice address
360 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2277
(870) 425-2021
Mailing address
360 HIGHWAY 5 N, MOUNTAIN HOME, AR 72653-3039
(870) 425-2277
(870) 425-2021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR836
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR836
LICENSE
AR
Enumeration date
02/16/2007
Last updated
07/08/2007
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