Kristine Clark OTR

NPI 1750577128 - Occupational Therapist - 225X00000X

NPI Details
NPI 1750577128
Gender Female
Enumeration Date 09/19/2007
Last Updated 09/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
130 2ND ST
NEENAH WI, 54956-2883, US
Phone (920) 729-3100
Fax
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Toxanomy
Taxonomy Code 225X00000X
License State Wisconsin
License Number 178-026
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According to our database, Kristine Clark OTR NPI is 1750577128, taxonomy code is 225X00000X and license number is 178-026, license state is located at Wisconsin. Kristine Clark OTR physically located at 130 2nd St, Neenah WI, 54956-2883. NPI Number Kristine Clark OTR has the Individual type.

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1750577128 NPI number is provided on an as is basis without warranty of any kind. 1750577128 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Clark OTR are for informational purposes only.