Mike A Clark OT

NPI 1639370984 - Occupational Therapist - 225X00000X

NPI Details
NPI 1639370984
Gender Male
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
444 N WELLS ST STE 304
CHICAGO IL, 60610-4593, US
Phone (708) 757-5362
Business Location
CRETE IL, 60417-1789, US
Phone (708) 757-5362
Taxonomy Code 225X00000X
License State Indiana
License Number 31001679A
Remove 1639370984 NPI Number

According to our database, Mike A Clark OT NPI is 1639370984, taxonomy code is 225X00000X and license number is 31001679A, license state is located at Indiana. Mike A Clark OT physically located at 444 N Wells St Ste 304, Chicago IL, 60610-4593. NPI Number Mike A Clark OT has the Individual type.

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1639370984 NPI number is provided on an as is basis without warranty of any kind. 1639370984 is maintained by the National Plan & Provider Enumeration System. The contents of Mike A Clark OT are for informational purposes only.