Jacqueline Clark
Occupational Therapist in Muskegon, MI. Individual provider (NPI-1).
NPI number1982175493
StatusActive
Last updated in NPPESDec 10, 2018
Details
- NPI
- 1982175493
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2018
- Last updated
- Dec 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201001665 | MI | Yes |
Practice location
888 Terrace StMuskegon, MI 49440-1220
Phone 231-672-4663
Mailing address
730 Ruddiman DrNorth Muskegon, MI 49445-2867
Phone 231-744-6805
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All 42 Occupational Therapist providers in Muskegon · All 3,241 providers in Muskegon
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