Individual
MADISON NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
360 MEADOWLARK DR, CALHOUN, KY 42327-9671
(270) 499-0663
Mailing address
360 MEADOWLARK DR, CALHOUN, KY 42327-9671
(270) 499-0663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/21/2023
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