Individual
DR. TANYA LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(860) 497-0239
(860) 497-0047
Mailing address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(607) 643-2178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10108
MA
225X00000X
Occupational Therapist
Primary
4145
CT
Other
Enumeration date
09/26/2013
Last updated
03/10/2024
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