Individual
SUSAN STOWERS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
7617 LITTLE RIVER TPKE, SUITE 310, ANNANDALE, VA 22003-2603
(703) 750-2443
Mailing address
7617 LITTLE RIVER TPKE, SUITE 310, ANNANDALE, VA 22003-2603
(703) 750-2443
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119002443
VA
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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