Individual
ERICA E CLORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-2922
(618) 529-0102
Mailing address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 529-2922
(618) 529-0102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009053
IL
Other
Enumeration date
08/09/2010
Last updated
11/07/2012
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