Individual
AUSTIN HOPE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 293-1696
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
282488
KY
Other
Enumeration date
01/05/2023
Last updated
01/09/2023
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