Individual
NATALIE ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MARIONVILLE REORGANIZED DIST 9, COLLEGE & DELL, MARIONVILLE, MO 65705-0409
(417) 258-7755
(417) 258-2564
Mailing address
PO BOX 409, COLLEGE & DELL, MARIONVILLE, MO 65705-0409
(417) 258-7755
(417) 258-2564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004900
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477568505
—
MO
Enumeration date
04/13/2007
Last updated
02/20/2009
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