Mike A Clark in Crete - Occupational Therapist

Mike A Clark - NPI 1639370984

Mike A Clark is a Occupational Therapist in Crete, Illinois. Mike A Clark practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mike A Clark is 1639370984. The last update date is 2007-07-08.

Mike A Clark's current location address is 23235 S Volbrecht Rd, Crete, Illinois. You can contact this provider via phone number 7087575362. The mailing address for Mike A Clark is 23235 S Volbrecht Rd, Crete, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mike A Clark
Address 23235 S Volbrecht Rd, Crete, Illinois
Phone Number 7087575362
Fax Number
Sole Proprietor N
Credentials OT

NPI Number Detail

NPI Number 1639370984
Provider Enumeration Date 2007-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 23235 S Volbrecht Rd
City Crete
State Illinois (IL)
Post Code 604171789
Phone Number 7087575362
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 31001679A
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Mike A Clark

What is the unique 10-digit identification code issued to Mike A Clark by the Centers for Medicare & Medicaid Services?

The Mike A Clark has been assigned the NPI (National Provider Identifier) 1639370984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Mike A Clark's facilities are geographically located?

The facilities of Mike A Clark are physically situated at the following location: 23235 S Volbrecht Rd, Crete, IL, 604171789.

What is Mike A Clark's area of expertise and its corresponding taxonomy classification?

The Mike A Clark's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Mike A Clark receive its 1639370984 assignment from the Centers for Medicare & Medicaid Services?

The Mike A Clark was assigned its 1639370984 by the Centers for Medicare & Medicaid Services on 2007-05-31.

When was the information regarding Mike A Clark most recently updated?

The details pertaining to the Mike A Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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