Individual
SUSAN JANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
450 BROADWAY ST, PAVILION A, 2ND FLOOR, REDWOOD CITY, CA 94063-3132
(650) 721-7682
(650) 721-3423
Mailing address
450 BROADWAY ST, M/C 6122, REDWOOD CITY, CA 94063-3132
(650) 721-7682
(650) 721-3423
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT3169
CA
Other
Enumeration date
03/01/2007
Last updated
12/23/2009
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