Individual
MRS. MELISSA LYNNE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1301 MEDICAL PKWY STE 130, CEDAR PARK, TX 78613-2529
(512) 248-2422
(512) 248-2354
Mailing address
9101 BURNET RD STE 103, AUSTIN, TX 78758-5260
(512) 248-2422
(512) 248-2354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
114267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294270803
—
TX
05
—
294270804
—
TX
Enumeration date
05/08/2012
Last updated
03/31/2019
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