Individual
JONNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
18360 CALDART AVE NE, POULSBO, WA 98370-8775
(518) 569-8621
Mailing address
5150 26TH AVE NE, SEATTLE, WA 98105-3102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60488569
WA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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