Individual
MRS. NANCY CLARKE-BETTICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
113 LINDEN ST, WOODMERE, NY 11598-2621
(516) 374-3963
Mailing address
1290 E 19TH ST, 2D, BROOKLYN, NY 11230-5461
(718) 951-1081
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002132-1
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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