Individual
ANN F. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100923
MN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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