Individual
LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5209 NEUSE TAVERN CT, RALEIGH, NC 27616-7889
(919) 578-3285
Mailing address
1849 BELLWOOD DR, RALEIGH, NC 27605-1303
(763) 226-5560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11112
NC
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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