Individual
CYNTHIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR BCP
Contact information
Practice address
2727 BRYANT ST STE 340, DENVER, CO 80211-4154
(303) 433-0852
(303) 477-9223
Mailing address
2727 BRYANT ST STE 340, DENVER, CO 80211-4154
(303) 433-0852
(303) 477-9223
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
AA420711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11622725
—
CO
05
—
89957229
—
CO
Enumeration date
07/26/2006
Last updated
07/09/2007
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