De'Atra Pruett Clark, OT
De'Atra Pruett Clark, OT is an Occupational Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
What do these letters mean?
- OT — Occupational Therapist
- Helps people regain the skills needed for daily living and work.
Practice location Address checks out
1325 San Marco Blvd Ste 102Jacksonville, FL 32207-8549
Phone: (904) 858-7045
Fax: (904) 858-7047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT0007576 (FL) |
|---|
Record details
| NPI number | 1164427209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OT |
| Sole proprietor | No |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | July 8, 2007 |
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