Individual
CHEALSEA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1999 ISLAND CLUB DR APT 29, INDIALANTIC, FL 32903-2073
(321) 361-8040
Mailing address
328 EMERSON DR. NE, PALM BAY, FL 32907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19478
FL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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