Individual
KARNA LEIAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
213 E REDWOOD AVE, SALLISAW, OK 74955-2811
(918) 774-1100
Mailing address
14756 MCMILLIN LN, POTEAU, OK 74953-7393
(918) 635-5833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1770
OK
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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