ASIA RENEE CLARK

CHICAGO, IL
NPI1134891435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.015612)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005571)
Enumeration Date2021-10-04
Last Update Date2023-08-14
Business Address
ASIA RENEE CLARK COTA
8552 S BENNETT AVE APT 3
CHICAGO, IL 60617-2364
Phone number: 773-656-3312
Mailing Address
ASIA RENEE CLARK COTA
8552 S BENNETT AVE APT 3
CHICAGO, IL 60617-2364
Phone number: 773-656-3312