JACOB C CLARK

DETROIT, MI
NPI1205468006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  52002008500)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
JACOB C CLARK
7800 W OUTER DR STE 300
DETROIT, MI 48235-3458
Phone number: 313-340-4442
Mailing Address
JACOB C CLARK
27085 GRATIOT AVE STE 101
ROSEVILLE, MI 48066-2984
Phone number: 586-204-5560
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