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MRS. MELINDA VOGUIT CLARK OTR/L

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

Registrant NPI Number: 1174750038

Individual Registrant:
MRS. MELINDA VOGUIT CLARK OTR/L
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4829 INNISBROOK CT S  ELKTON, FL 32033-2067 US
Tel: 904-374-1414  Fax: --

Contact information for business:
4829 INNISBROOK CT S  ELKTON, FL 32033-2067 US
Tel: 904-374-1414  Fax: --

Registration Information:
NPI: 1174750038
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
FLOT13589

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001078200FL05
001078300FL05




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