Theresa Renee Clark, COTA/L
NPI #1194409136 in Lafayette Hill, Pennsylvania
Provider Information
- NPI Number
- 1194409136
- Entity Type
- Individual
- Name
- Theresa Renee Clark, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jun 12, 2023
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 4000 FOXHOUND DR
- City
- Lafayette Hill
- State
- Pennsylvania
- ZIP Code
- 19444-1014
- Phone
- (215) 402-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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