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Individual

EMMA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, LOTR

Contact information

Practice address
37278 MARKET PLACE DR, PRAIRIEVILLE, LA 70769-3487
(225) 744-1717
Mailing address
27130 HIGHWAY 22, SPRINGFIELD, LA 70462-3108
(225) 209-8248

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
346048
LA

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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