MRS. Julia Ann Clark, COTA/L

NPI #1104173780 in Vincennes, Indiana

Provider Information

NPI Number
1104173780
Entity Type
Individual
Name
MRS. Julia Ann Clark, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Aug 13, 2012
Last Updated
Aug 14, 2012

Practice Location

Address
3801 OLD BRUCEVILLE RD
Address 2
TRU REHAB
State
Indiana
ZIP Code
47591-3889
Phone
(812) 886-4677

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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