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1164427209
DE'ATRA PRUETT CLARK
JACKSONVILLE, FL
NPI
1164427209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT0007576)
Enumeration Date
2005-06-16
Last Update Date
2007-07-08
Business Address
-- DE'ATRA PRUETT CLARK OT
1325 SAN MARCO BLVD STE 102
JACKSONVILLE, FL 32207-8549
Phone number: 904-858-7045
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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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