MRS. Leita Faye Clark, COTA/L
NPI #1235382177 in Jersey Shore, Pennsylvania
Provider Information
- NPI Number
- 1235382177
- Entity Type
- Individual
- Name
- MRS. Leita Faye Clark, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 23, 2008
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 1008 THOMPSON ST
- City
- Jersey Shore
- State
- Pennsylvania
- ZIP Code
- 17740-1729
- Phone
- (570) 398-4747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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