Individual
MR. CLIFFORD LLOYD CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A/L
Contact information
Practice address
501 ESSEOLA DRIVE, SALUDA, NC 28773
(828) 749-2261
Mailing address
P.O. BOX 1035, DANA, NC 28724
(828) 272-5202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4167
NC
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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