Susan Dorsch Clark, OTR

NPI #1881851608 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1881851608
Entity Type: Individual
Name: Susan Dorsch Clark, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 707 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-3027
Phone: (920) 887-4039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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