JONATHAN WILSON CLARK

BAKER CITY, OR
NPI1679943328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  342831)
Enumeration Date2015-10-06
Last Update Date2015-10-06
Business Address
-- JONATHAN WILSON CLARK OTR/L
3175 POCAHONTAS RD
BAKER CITY, OR 97814-1434
Phone number: 541-523-4415
Mailing Address
-- JONATHAN WILSON CLARK OTR/L
3510 8TH DR
BAKER CITY, OR 97814-1516
Phone number: 801-413-4395
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