Jonathan Wilson Clark, OTR/L
NPI #1679943328 in Baker City, Oregon
Provider Information
- NPI Number
- 1679943328
- Entity Type
- Individual
- Name
- Jonathan Wilson Clark, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 3175 POCAHONTAS RD
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-1434
- Phone
- (541) 523-4415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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