MRS. Maureen Charbeneau Clark, OTR/L

NPI #1689810780 in Madison, Mississippi

Provider Information

NPI Number: 1689810780
Entity Type: Individual
Name: MRS. Maureen Charbeneau Clark, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 20, 2008
Last Updated: Dec 20, 2008

Practice Location

Address: 241 KIOWA DR
City: Madison
State: Mississippi
ZIP Code: 39110-8813
Phone: (601) 291-5852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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