DE'ATRA PRUETT CLARK (OT) – Occupational Therapist, NPI 1164427209
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Doctor Profile
Profile Insights
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Provider Addresses for DE'ATRA PRUETT CLARK (OT)
1325, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
SUITE 701
JACKSONVILLE, FL 322078568
Phone: (904) 858-6418
Fax: (904) 858-6490
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL |
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