Individual
JUDITH LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 887-6254
Mailing address
231 STANFORD AVE, ELYRIA, OH 44035-6011
(440) 323-2432
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0128
OH
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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