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1013288778
GRETCHEN MARIE CLARK
WINTER GARDEN, FL
NPI
1013288778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT 12485)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
Mrs. GRETCHEN MARIE CLARK OTR/L
15204 W COLONIAL DR
WINTER GARDEN, FL 34787-6042
Phone number: 407-877-2394
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Mailing Address
Mrs. GRETCHEN MARIE CLARK OTR/L
4020 GREENLEAF DR
KISSIMMEE, FL 34744-9150
Phone number: 856-904-8521
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