Individual
CARRIE MARIE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1706 E AMBER LN, URBANA, IL 61802-6907
(217) 365-0299
(217) 365-0301
Mailing address
1706 E AMBER LN, URBANA, IL 61802-6907
(217) 365-0299
(217) 365-0301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002615
IL
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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