Individual
DR. KHALEN DEWAR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3533 GREAT CYPRESS CIR APT 302, RUSKIN, FL 33573-6863
(412) 526-2921
Mailing address
3533 GREAT CYPRESS CIR APT 302, RUSKIN, FL 33573-6863
(412) 526-2921
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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