Individual
KRISTEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 TOWN SQUARE, SUITE A, CHATHAM, NJ 07928
(973) 507-9730
(973) 507-9710
Mailing address
5 TOWN SQUARE, SUITE A, CHATHAM, NJ 07928
(973) 507-9730
(973) 507-9710
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00317000
NJ
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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