Individual
KRISTEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-2719
Mailing address
5874 BAYBERRY FARMS DR SW APT 9, WYOMING, MI 49418-9398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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