WANDA LOUISE CLARK

JACKSONVILLE, FL
NPI1578764056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA4733)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- WANDA LOUISE CLARK OTA
1422 SAN MARCO BLVD
JACKSONVILLE, FL 32207-8536
Phone number: 904-306-0177
Mailing Address
-- WANDA LOUISE CLARK OTA
1563 HARVEST COVE DR
MIDDLEBURG, FL 32068-6837
Phone number: 904-406-9239
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