Most Relevant Information
Provider Data
| NPI Number: | 1003818279 |
| Provider Name: | RACHELLE R CLARK OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 1283 |
Most Important Dates
| Enumeration Date: | 06/01/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2367 GA HIGHWAY 88
HEPHZIBAH
GA
308154630
Practice Location Phone/Fax
| Phone: | 7065925565 |
| Fax: |
Provider Mailing Location
2367 GA HIGHWAY 88
HEPHZIBAH
GA
308154630
Provider Mailing Phone/Fax
| Phone: | 7065925565 |
| Fax: |