Individual
CASSANDRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 791-7210
Mailing address
12 BLUEBERRY DR, SOUTH PORTLAND, ME 04106-6891
(207) 671-4416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3297
ME
Other
Enumeration date
03/25/2017
Last updated
02/06/2019
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