Individual
SUSAN DORSCH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-4039
(920) 887-5970
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-4039
(920) 887-5970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2250-026
WI
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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