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Individual

SKYLAR NICOLE CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
PO BOX 796, PERRYVILLE, AR 72126-0796
(501) 391-5854
Mailing address
PO BOX 796, PERRYVILLE, AR 72126-0796
(501) 391-5854

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2198
AR

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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