Individual
TIMILYN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1321 SUGARLOAF RESERVE DR, DULUTH, GA 30097
(770) 807-4503
(470) 517-7334
Mailing address
5805 STATE BRIDGE RD, STE G, #224, JOHNS CREEK, GA 30097
(770) 807-4503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003260
GA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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