Julianna Frances Clark
Occupational Therapist in San Rafael, CA. Individual provider (NPI-1).
NPI number1912487539
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1912487539
- Entity type
- Individual (NPI-1)
- Name
- Julianna Frances Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2018
- Last updated
- Aug 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 13878 | CA | Yes |
Practice location
234 N San Pedro RdSan Rafael, CA 94903-2858
Phone 415-479-3450
Mailing address
1135 Grand Ave Apt 1San Rafael, CA 94901-3475
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