Individual
LAURA-LIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
205 SOUTH ST E, TALLADEGA, AL 35160-2411
(256) 761-3366
Mailing address
203 E DAMON AVE, TALLADEGA, AL 35160-3213
(256) 698-0013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6594
AL
225XP0200X
Pediatric Occupational Therapist
Primary
6594
AL
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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