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Contact Information

VALENSIA CLARK
2828 GREEN POND CIR
CONWAY, SC29527-5143
 Phone: 803-439-8203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for VALENSIA CLARK · (Female)

NPI Number 1174990923
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2015
Last updated 08/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 3462
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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