Stephanie W. Clark, OT

NPI #1851588610 in Morrow, Georgia

Provider Information

NPI Number: 1851588610
Entity Type: Individual
Name: Stephanie W. Clark, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 26, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 6635 LAKE DR
City: Morrow
State: Georgia
ZIP Code: 30260-2354
Phone: (678) 422-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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