Individual
ANDREA K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 GOLDENROD LN, HICKMAN, NE 68372-9509
(402) 560-3651
Mailing address
20318 180TH ST, ROCKWELL, IA 50469-8680
(402) 560-3651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2227
NE
Other
Enumeration date
07/30/2018
Last updated
06/09/2021
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