National Provider Identifier
Mary Louise Clark, OTR
Mary Louise Clark, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 461-8572.
Profile Overview
- NPI
- 1932236619
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 28, 2007
- Last Updated
- July 08, 2007
Practice Location
- 620 Westfall RD
- Rochester, NY 14620-4610
Phone: (585) 461-8572
Mailing Address
- 55 Sunset Dr
- Rochester, NY 14618-2321
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1932236619
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Mary
- Middle Name
- Louise
- Credential
- OTR
- Mailing Street Address
- 55 Sunset Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2321
- Mailing Country
- US
- Mailing Phone
- (585) 244-0801
- Practice Street Address
- 620 Westfall RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4610
- Practice Country
- US
- Practice Phone
- (585) 461-8572
- Practice Fax
- (585) 461-8545
- Enumeration Date
- February 28, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Occupational Therapist (225X00000X)