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Individual

EMILY D CLENDENIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(757) 424-5078
Mailing address
2217 ARKLOW RD, VIRGINIA BEACH, VA 23456-7741
(757) 773-2041

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002190
VA

Other

Enumeration date
09/07/2020
Last updated
09/07/2020
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