Individual
KAYLA ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2401 S SIDE BLVD, GREENSBORO, NC 27406-3311
(336) 604-2300
Mailing address
4449 FRIENDSHIP LN, TRINITY, NC 27370-7334
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
10491
NC
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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