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Individual

ELEANOR CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
173 FREDERICK PL, BERGENFIELD, NJ 07621-4212
(201) 384-6186
(201) 384-8050
Mailing address
173 FREDERICK PL, BERGENFIELD, NJ 07621-4212
(201) 384-6186
(201) 384-8050

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00272800
NJ

Other

Enumeration date
08/03/2006
Last updated
07/08/2007
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