Individual
MRS. JENNIFER ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 MICHELE CIR, DUNEDIN, FL 34698-6131
(215) 696-5568
Mailing address
859 MICHELE CIR, DUNEDIN, FL 34698-6131
(215) 696-5568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13550
FL
Other
Enumeration date
03/16/2009
Last updated
07/22/2021
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