Kimberly L Clark, OT

NPI #1376546507 in Gorham, Maine

Provider Information

NPI Number: 1376546507
Entity Type: Individual
Name: Kimberly L Clark, OT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: OT
Enumeration Date: May 23, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 28 CARSON DR
City: Gorham
State: Maine
ZIP Code: 04038-2189
Phone: (207) 839-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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