Individual provider · NPI-1

Cara Leanne Clark, MOTR/L

Occupational Therapist · Saint Clair Shores, MI

NPI number1932598992
StatusActive
Last updated in NPPESFeb 1, 2017

Details

NPI
1932598992
Entity type
Individual (NPI-1)
Name
Cara Leanne Clark
Credential
MOTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2015
Last updated
Feb 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5201008898MIYes

Other names

  • Cara Leanne Ruggeri (Former Name)

Practice location

30801 Jefferson Ave
Saint Clair Shores, MI 48082-1732

Phone 586-293-1234

Mailing address

15708 Huntcliff Dr
Macomb, MI 48044-3854

Phone 586-293-1234

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