Clark Upton, COTA/L
NPI #1215280599 in Bridgewater, Virginia
Provider Information
- NPI Number
- 1215280599
- Entity Type
- Individual
- Name
- Clark Upton, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 23, 2012
- Last Updated
- Oct 31, 2012
Practice Location
- Address
- 302 N 2ND ST
- City
- Bridgewater
- State
- Virginia
- ZIP Code
- 22812-1712
- Phone
- (540) 828-3738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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