Individual
CATHLEEN H CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 SILVER MINE DR, COLORADO SPRINGS, CO 80905-4230
(719) 322-8218
Mailing address
447 SILVER MINE DR, COLORADO SPRINGS, CO 80905-4230
(719) 322-8218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0000248
CO
224Z00000X
Occupational Therapy Assistant
Primary
000248
CO
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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