Kelly Clark, COTA

NPI 1447567383 · on the registry since 2010 · sole proprietor

Practice

Address: 65 N Sussex St
Dover, NJ 07801
Phone: (973) 361-5200
Organisation at this address: Grande Center For Post Acute And Nursing Care Llc
Regency Grande Nursing And Rehabilitation Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey