Individual
SHANNON CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 PARK AVE, ARLINGTON, MA 02476-5829
(781) 648-9530
Mailing address
3 LAKEVIEW AVE, MASSAPEQUA, NY 11758-5259
(516) 780-4763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028421
NY
225X00000X
Occupational Therapist
36503
MA
Other
Enumeration date
04/17/2025
Last updated
02/13/2026
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