Individual
TAYLAR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 COUNTY DR, LACONIA, NH 03246-2900
(603) 527-8138
Mailing address
PO BOX 392, GILMANTON, NH 03237-0392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0755
NH
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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