Individual
MR. JOSHUA SCOTT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
303 N. HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
6010 MORNING GLORY LN, LOUISVILLE, KY 40258-2034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R4054
KY
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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