Individual
GRACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MECHANIC ST, CAMDEN, ME 04843-1811
(845) 545-4467
Mailing address
35 HIGHVIEW AVE, FLORIDA, NY 10921-1716
(845) 545-4467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4821
ME
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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