Individual
DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
457 E LIBERTY ST, GIRARD, OH 44420-2720
(330) 978-8926
Mailing address
457 E LIBERTY ST, GIRARD, OH 44420-2720
(330) 978-8926
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 05092
OH
Other
Enumeration date
06/23/2014
Last updated
12/13/2014
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