Individual
BROOKE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
38 W 32ND ST, #604, NEW YORK, NY 10001-3816
(212) 290-0290
Mailing address
38 W 32ND ST, #604, NEW YORK, NY 10001-3816
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019215-1
NY
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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