MRS. Melissa Sue Clark, OTR/L

NPI #1811228877 in Blue Ridge, Georgia

Provider Information

NPI Number: 1811228877
Entity Type: Individual
Name: MRS. Melissa Sue Clark, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 14, 2010
Last Updated: Jan 14, 2010

Practice Location

Address: 3798 E FIRST ST
City: Blue Ridge
State: Georgia
ZIP Code: 30513-4514
Phone: (706) 632-7168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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