Individual
MRS. REBECCA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3200 N ELM ST, GREENSBORO, NC 27408-3853
(336) 545-3444
Mailing address
3200 NORTH ELM ST, GREENSBORO, NC 27408
(336) 545-3444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5962
NC
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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