Individual
MS. LORI LOUANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10515 W MARKHAM ST STE H10, LITTLE ROCK, AR 72205-2284
(501) 823-0578
Mailing address
5810 KAREN DR, NORTH LITTLE ROCK, AR 72118-1233
(501) 851-7981
(501) 851-7981
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138442721
—
AR
Enumeration date
10/31/2006
Last updated
06/10/2024
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