Individual
ANNA MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(801) 840-2000
Mailing address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9050483-4201
UT
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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