Individual
MS. MICHELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1930 CIRCLE OF HOPE DR FL 2, SALT LAKE CITY, UT 84132-0001
(801) 587-4023
(801) 585-6234
Mailing address
1930 CIRCLE OF HOPE DR FL 2, SALT LAKE CITY, UT 84132-0001
(801) 587-4023
(801) 585-6234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7763751-4201
UT
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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