Individual
MRS. DEANNE MARIE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2111 GREENWOOD AVE, SAN CARLOS, CA 94070-4501
(650) 596-9069
Mailing address
2111 GREENWOOD AVE, SAN CARLOS, CA 94070-4501
(650) 596-9069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3652
CA
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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