Individual
CATHERINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1936 N MOHAWK ST, APT 2, CHICAGO, IL 60614-5251
(678) 925-1470
Mailing address
1936 N MOHAWK ST, APT 2, CHICAGO, IL 60614-5251
(678) 925-1470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
01/02/2017
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