Individual
MRS. ASHLEY DANELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2678 E LEVEL GREEN RD, MOUNT VERNON, KY 40456-8554
(606) 256-9875
Mailing address
2678 E LEVEL GREEN RD, MOUNT VERNON, KY 40456-8554
(606) 256-9875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4358
KY
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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