Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONIE CLARK
Active Sole ProprietorCONIE CLARK is a Occupational Therapist healthcare provider located in CLARENCE, Missouri. NPI 1164098083 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CLARENCE, MO
Registration Details
- NPI Number
- 1164098083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2021 (5.1948678808436 yrs)
- Last Updated
- Jun 1, 2021
- License
-
2020021602 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 EAST STCLARENCE, MO, 634371902Browse MO providers · Browse ZIP 63437
- Phone
- 6606992118
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.