Wanda Louise Clark in Middleburg - Occupational Therapy Assistant
Wanda Louise Clark - NPI 1578764056
Wanda Louise Clark is a Occupational Therapy Assistant in Middleburg, Florida. Wanda Louise Clark practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Wanda Louise Clark is 1578764056. The last update date is 2007-07-08.
Wanda Louise Clark's current location address is 1563 Harvest Cove Dr, Middleburg, Florida. You can contact this provider via phone number 9044069239. The mailing address for Wanda Louise Clark is 1563 Harvest Cove Dr, Middleburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Louise Clark |
|---|---|
| Address | 1563 Harvest Cove Dr, Middleburg, Florida |
| Phone Number | 9044069239 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTA |
NPI Number Detail
| NPI Number | 1578764056 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1563 Harvest Cove Dr |
|---|---|
| City | Middleburg |
| State | Florida (FL) |
| Post Code | 320686837 |
| Phone Number | 9044069239 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OTA4733 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wanda Louise Clark by the Centers for Medicare & Medicaid Services?
The Wanda Louise Clark has been issued the NPI (National Provider Identifier) 1578764056, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wanda Louise Clark's facilities are situated?
The facilities of Wanda Louise Clark are physically located at the following address: 1563 Harvest Cove Dr, Middleburg, FL, 320686837.
What is Wanda Louise Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wanda Louise Clark is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
When did the Wanda Louise Clark receive its 1578764056?
The Wanda Louise Clark was issued its 1578764056 on 2007-05-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Wanda Louise Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wanda Louise Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC