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Kimberly L Clark, OT
Specialist in Gorham, Maine
NPI 1376546507

Kimberly L Clark is a Specialist based in Gorham, ME. Kimberly L Clark practices in Gorham, ME and has the professional credentials of OT. The NPI Number for Kimberly L Clark is 1376546507 and holds a License No. OT521 (Maine).

The current practice location address for Kimberly L Clark is 28 Carson Dr, Gorham, ME and can be reached out via phone at 207-839-7117.

Location: 28 Carson Dr, Gorham, ME, 04038-2189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376546507
Provider Name
Kimberly L Clark
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
28 Carson Dr, Gorham, ME, 04038-2189
Phone Number
207-839-7117
Fax Number
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
28 Carson Dr
City
Gorham
State
Maine
Zip
04038-2189
Phone Number
207-839-7117
Fax Number
person
Provider Business Mailing Address Details
Address
28 Carson Dr
City
Gorham
State
Maine
Zip
04038-2189
Phone Number
207-839-7117
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT521 (Maine)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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