Individual
MRS. NANCY ANNE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.OTR/L
Contact information
Practice address
338 ASTER RD, WEST ISLIP, NY 11795-2820
(631) 539-2327
Mailing address
338 ASTER RD, WEST ISLIP, NY 11795-2820
(631) 539-2327
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012091-1
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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