Individual
MRS. JENNIFER CATHRYN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 HIGH STREET, BROOKLINE, MA 02445
(857) 364-0241
Mailing address
55 GARRISON ROAD, APT 1, BROOKLINE, MA 02445
(617) 620-2459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9429
MA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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