Deonna Clark, OTR/L

NPI #1760929962 in Madison, Tennessee

Provider Information

NPI Number: 1760929962
Entity Type: Individual
Name: Deonna Clark, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 406 RIVERCHASE BLVD
City: Madison
State: Tennessee
ZIP Code: 37115-2034
Phone: (678) 431-8776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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