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Individual

JENNIFER ANN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
4 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 282-0056
Mailing address
9910 BENBURY CT, SAINT LOUIS, MO 63128-1569

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015003683
MO

Other

Enumeration date
03/26/2018
Last updated
03/26/2018
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