Individual
JACQUELINE CLARKE-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13120 BROOKTREE LN, LAUREL, MD 20707-9492
(240) 893-4157
Mailing address
13120 BROOKTREE LN, LAUREL, MD 20707-9492
(240) 893-4157
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
03679
MD
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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