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MELISSA NEWKAM CLARK OTR/L

Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063799682

Individual Registrant:
 MELISSA NEWKAM CLARK OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5745 OLD WINDER HWY STE C  BRASELTON, GA 30517-1637 US
Tel: 770-965-1861  Fax: --

Contact information for business:
5745 OLD WINDER HWY STE C  BRASELTON, GA 30517-1637 US
Tel: --  Fax: --

Registration Information:
NPI: 1063799682
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Pediatrics
GAOT005376

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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