NPI 1316117898

Judith Lynn Clark, COTA

Practitioner Physical Therapy Assistant Parma Heights, OH

Practice location

Address: 6455 Pearl Rd, Parma Heights, OH 44130-2984
Phone: (440) 887-6254
Mailing address: 231 Stanford Ave, Elyria, OH 44035-6011

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA0128 (OH)

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Registry record

NPI: 1316117898
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2008
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.