Individual
CIARA NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 S 336TH ST, FEDERAL WAY, WA 98003-7394
(253) 661-5166
Mailing address
909 S 336TH ST, FEDERAL WAY, WA 98003-7394
(253) 661-5166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60823463
WA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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