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Contact Information

CEZANNE O CLARKE, OTR/L
2540 WIGGINS ST STE E
LITHONIA, GA30058-4312
 Phone: 404-606-3755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Home Care

2279H0200X
Indicates primary specialty

NPI Profile & details for CEZANNE O CLARKE · (Female)

NPI # 1932774965
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 05/21/2021
Last updated 04/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • License # OT008489
  • TX License # 121601
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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