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Contact Information

DENISE M CLARK, OTR CHT
12911 120TH AVE NE
SUITE H 220
KIRKLAND, WA98034-3027
 Phone: 425-216-7075
 Fax: 425-216-7094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DENISE M CLARK · (Female)

NPI # 1528198389
Status Active
Credentials OTR CHT
Entity Individual
Enumeration date 03/07/2007
Last updated 10/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 9711000164
  • WA License # OT00001716
  • WA Medicaid 7680697
  • WA Other 126095 L & I
  • WA Other 7466CL REGENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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