DE'ATRA PRUETT CLARK

JACKSONVILLE, FL
NPI1164427209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT0007576)
Enumeration Date2005-06-16
Last Update Date2007-07-08
Business Address
-- DE'ATRA PRUETT CLARK OT
1325 SAN MARCO BLVD STE 102
JACKSONVILLE, FL 32207-8549
Phone number: 904-858-7045
Mailing Address
-- DE'ATRA PRUETT CLARK OT
1325 SAN MARCO BLVD SUITE 701
JACKSONVILLE, FL 32207-8568
Phone number: 904-858-6418
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