SHELEAH CLARK

FORT WAYNE, IN
NPI1093019473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001852A)
Enumeration Date2010-12-29
Last Update Date2010-12-29
Business Address
Miss SHELEAH CLARK
3108 CANTERBURY BLVD APT 6
FORT WAYNE, IN 46835-3228
Phone number: 260-418-5419
Mailing Address
Miss SHELEAH CLARK
3108 CANTERBURY BLVD APT 6
FORT WAYNE, IN 46835-3228
Phone number: 260-418-5419
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