Individual
SYDNE JUSTINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
122 E 18TH ST, OWENSBORO, KY 42303-3751
(270) 926-2212
(270) 926-2215
Mailing address
122 E 18TH ST, OWENSBORO, KY 42303-3751
(270) 926-2212
(270) 926-2215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
276408
KY
225XP0200X
Pediatric Occupational Therapist
Primary
276408
KY
Other
Enumeration date
08/01/2022
Last updated
02/23/2026
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