NPI | 1104275452 |
---|---|
Other Name | ASHLEY D CLARK, OT SERVICES |
Entity Type | Organization |
Authorized Contact | ASHLEY D CLARK Occupational Therapist 606-308-5616 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY R4358) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-06-08 |