Theresa Clark, C.O.T.A.

NPI #1659520799 in Dyer, Indiana

Provider Information

NPI Number
1659520799
Entity Type
Individual
Name
Theresa Clark, C.O.T.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A.
Enumeration Date
Sep 12, 2008
Last Updated
Sep 12, 2008

Practice Location

Address
2300 GREAT LAKES DR
City
Dyer
State
Indiana
ZIP Code
46311-1917
Phone
(219) 322-3555

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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