LISA M CLARK

VIRGINIA BEACH, VA
NPI1023683703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131002424)
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
LISA M CLARK
3100 SHORE DR
VIRGINIA BEACH, VA 23451-1199
Phone number: 757-496-1102
Mailing Address
LISA M CLARK
2649 SPRINGHAVEN DR
VIRGINIA BEACH, VA 23456-3995
Phone number: 757-472-0241