Individual
MELISSA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
5095 S ALMA SCHOOL RD STE 4, CHANDLER, AZ 85248-5585
(160) 264-8544
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4429
AZ
Other
Enumeration date
07/03/2012
Last updated
11/22/2023
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