Individual
PATRICIA PAULETTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
342 VIRGINIA AVENUE, HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC, WYTHEVILLE, VA 24382
(276) 228-6200
(276) 228-9175
Mailing address
342 VIRGINIA AVENUE, HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC, WYTHEVILLE, VA 24382
(276) 228-6200
(276) 228-9175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003556
VA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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