THERESA CLARK, C.O.T.A.

Occupational Therapy Assistant

Active Individual
NPI: 1659520799

Practice Address

2300 GREAT LAKES DR
Dyer, IN 46311

Phone: (219) 322-3555

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 32001147A (IN)

Frequently Asked Questions

NPI 1659520799 is the National Provider Identifier for THERESA CLARK, C.O.T.A., a Occupational Therapy Assistant provider located in Dyer, IN. This NPI was enumerated on September 12, 2008.
THERESA CLARK, C.O.T.A. practices at 2300 GREAT LAKES DR, Dyer, IN 46311.

Quick Facts

NPI
1659520799
Type
Individual
Enumerated
Sep 12, 2008
Last Updated
Sep 12, 2008

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