TRACI D CLARK

ALBANY, IN
NPI1447471735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  320011262A)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- TRACI D CLARK COTA
910 W WALNUT ST
ALBANY, IN 47320-1530
Phone number: 765-789-2000
Mailing Address
-- TRACI D CLARK COTA
5218 S MOUNT PLEASANT RD
PORTLAND, IN 47371-7201
Phone number: 260-726-2433
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