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Individual

DEBRA P CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
390 BROAD ST, NASHUA, NH 03063-3040
(603) 566-8468
Mailing address
5 HAPPY LN, LONDONDERRY, NH 03053-4042
(603) 566-8468

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0393
NH

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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