Maureen Charbeneau Clark OTR/L

NPI 1689810780 - Occupational Therapist - 225X00000X

NPI Details
NPI 1689810780
Gender Female
Enumeration Date 12/20/2008
Last Updated 12/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
241 KIOWA DR
MADISON MS, 39110-8813, US
Phone (601) 291-5852
Fax
Business Location
241 KIOWA DR
MADISON MS, 39110-8813, US
Phone (601) 291-5852
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Mississippi
License Number OT1722
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According to our database, Mrs. Maureen Charbeneau Clark OTR/L NPI is 1689810780, taxonomy code is 225X00000X and license number is OT1722, license state is located at Mississippi. Maureen Charbeneau Clark OTR/L physically located at 241 Kiowa Dr, Madison MS, 39110-8813. NPI Number Maureen Charbeneau Clark OTR/L has the Individual type.

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1689810780 NPI number is provided on an as is basis without warranty of any kind. 1689810780 is maintained by the National Plan & Provider Enumeration System. The contents of Maureen Charbeneau Clark OTR/L are for informational purposes only.