Individual
DR. JACY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
139 EXCHANGE CIR APT 108, ASHEVILLE, NC 28806-3960
(412) 580-9777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015813
PA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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