Individual
MRS. TERESA ANN MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3318
(410) 583-1515
(410) 583-2491
Mailing address
1026 CROMWELL BRIDGE RD, BALTIMORE, MD 21286-3318
(410) 583-1515
(410) 583-2491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02788
MD
Other
Enumeration date
05/29/2008
Last updated
01/25/2013
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