Individual
MADELYN GRACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2300 WADE AVE, ASHTABULA, OH 44004-9435
(814) 746-1250
Mailing address
4608 MEADOWVIEW DR APT 105, ERIE, PA 16509-8512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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