Individual
CHERI A CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6507 CHARLESTON ST, OAK FOREST, IL 60452-2626
(708) 699-4771
Mailing address
6507 CHARLESTON ST, OAK FOREST, IL 60452-2626
(708) 699-4771
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004503
IL
226000000X
Recreational Therapist Assistant
57004503
IL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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