Individual
DONNANNE MARY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
365 BELDEN HILL RD, WILTON, CT 06484-1914
(203) 762-4149
Mailing address
29 CAMEO DR, SHELTON, CT 06484-1914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1773
CT
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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