Individual
LESHA DANIELLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
111 NATURE WALK PKWY UNIT 108, ST AUGUSTINE, FL 32092-3065
(904) 328-7489
(904) 490-8549
Mailing address
234 GOLDCREST WAY, ST AUGUSTINE, FL 32092-3379
(734) 645-8579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23300
FL
Other
Enumeration date
05/29/2018
Last updated
09/11/2025
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