Edward J Clark, COTA
Occupational Therapy Assistant in North Adams, Massachusetts
1316064777- Practice location
- 175 Franklin St, North Adams, MA 01247-2712
- Phone
- 413-664-4401
- Fax
- —
- Last updated
- July 8, 2007
Edward J Clark is an Occupational Therapy Assistant based in North Adams, MA. Edward J Clark practices in North Adams, MA and has the professional credentials of COTA. The NPI Number for Edward J Clark is 1316064777 and holds a License No. 2649 (MA). The current practice location address for Edward J Clark is 175 Franklin St, North Adams, MA 01247-2712 and can be reached out via phone at 413-664-4401.
Provider Profile Details
- NPI Number
- 1316064777
- Provider Name
- Edward J Clark
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 175 Franklin St, North Adams, MA 01247-2712
- Phone Number
- 413-664-4401
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Franklin St
North Adams, MA 01247-2712 - City
- North Adams
- State
- Massachusetts
- Zip
- 01247-2712
- Phone Number
- 413-664-4401
Provider Business Mailing Address Details
- Address
- 346 Pleasant St
Dalton, MA 01226-1137 - City
- Dalton
- State
- MA
- Zip
- 01226-1137
- Phone Number
- 413-684-0480
License Information
- License Number
- 2649
- License State
- MA
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edward J Clark, COTA?
The NPI number of Edward J Clark, COTA is 1316064777. It was assigned on March 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Edward J Clark, COTA?
Edward J Clark, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in MA under license number 2649.
Where does Edward J Clark, COTA practice?
The practice location is 175 Franklin St, North Adams, MA 01247-2712. The office can be reached at 413-664-4401 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316064777 directly on the NPPES registry website.