Individual
ELIZABETH LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
639 W CHESTNUT EXPY, SPRINGFIELD, MO 65802-3935
(417) 523-7500
Mailing address
2960 W HIGHPOINT ST, SPRINGFIELD, MO 65810-2050
(417) 886-8955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008022951
MO
Other
Enumeration date
08/29/2008
Last updated
05/29/2013
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