Individual
KYLA N CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
1923 S MAIN ST, CLYDE, OH 43410-9507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 04187
OH
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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