Individual
SOPHEA MARI CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
344 GIDNEY AVE, NEWBURGH, NY 12550-3330
(845) 562-6220
Mailing address
10 BOOTH RD, CHESTER, NY 10918-2632
(646) 548-6569
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
028852
NY
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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