Individual
DR. GLORIA JEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
23878 SCENIC VIEW DR, ADEL, IA 50003-8509
(515) 993-5026
Mailing address
23878 SCENIC VIEW DR, ADEL, IA 50003-8509
(515) 993-5026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OOO78
IA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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