Individual
MS. TAMMY JANE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
420 GAFFNEY DRIVE, JEFFERSON REHABILITATION CENTER, WATERTOWN, NY 13601
(315) 788-2730
(315) 782-6612
Mailing address
4016 COUNTY ROUTE #24, RUSSELL, NY 13684
(315) 347-3093
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005576-1
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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