Individual
EVA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 ABRAHMS BLVD, REHABILITATION SERVICES, WEST HARTFORD, CT 06117-1508
(860) 523-2864
(860) 523-3819
Mailing address
77 JOHANNA CIR, SOUTHINGTON, CT 06489-1223
(860) 410-0738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
CT 000826
CT
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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