Search › Georgia › 225X00000X
Stephanie Clark, OT
NPI 1851588610 · on the registry since 2007
Practice
- Address
- 6635 Lake Dr
Morrow, GA 30260 - Phone
- (678) 422-4300
- Fax
- (678) 422-4299
- Organisation at this address
- Resurgens, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-26
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 Georgia