Jacob C Clark
Jacob C Clark is an Occupational Therapy Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2020.
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
7800 W Outer Dr Ste 300Detroit, MI 48235-3458
Phone: (313) 340-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 52002008500 (MI) |
|---|
Record details
| NPI number | 1205468006 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 10, 2020 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |
| Mailing address | 27085 Gratiot Ave Ste 101, Roseville, MI 48066-2984 |
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