Individual
LILA R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2230 ASHLEY CROSSING DR, CHARLESTON, SC 29414-5700
(843) 766-5228
Mailing address
9002 MAPLE GROVE DR, SUMMERVILLE, SC 29485-8865
(843) 697-4184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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