Individual
VICKI L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,L
Contact information
Practice address
36 CLINTON ST, CONCORD, NH 03301-2359
(603) 271-5300
Mailing address
80 ALLISON ST, CONCORD, NH 03301-2838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0205
NH
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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