Individual
BRANDY ELIZABETH CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4901 CAMP RD, HAMBURG, NY 14075-2625
(716) 458-1990
Mailing address
4901 CAMP RD, HAMBURG, NY 14075-2625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026259
NY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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