Dr. Tanya L Clark, OTD, OTR/L
Occupational Therapist in North Grosvenordale, Connecticut
1427485192- Practice location
- 113 Labby RD, North Grosvenordale, CT 06255-1247
- Phone
- 860-497-0239
- Fax
- 860-497-0047
- Last updated
- March 10, 2024
Tanya Lee Clark is an Occupational Therapist based in North Grosvenordale, CT. Tanya Lee Clark practices in North Grosvenordale, CT and has the professional credentials of OTD, OTR/L. The NPI Number for Tanya Lee Clark is 1427485192 and holds a License No. 10108 (MA). The current practice location address for Tanya Lee Clark is 113 Labby RD, North Grosvenordale, CT 06255-1247 and can be reached out via phone at 860-497-0239 and via fax at 860-497-0047.
Provider Profile Details
- NPI Number
- 1427485192
- Provider Name
- Tanya Lee Clark
- Credential
- OTD, OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 Labby RD, North Grosvenordale, CT 06255-1247
- Phone Number
- 860-497-0239
- Fax Number
- 860-497-0047
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 26, 2013
- Last Update Date
- March 10, 2024
- Certification Date
- March 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Labby RD
North Grosvenordale, CT 06255-1247 - State
- Connecticut
- Zip
- 06255-1247
- Phone Number
- 860-497-0239
- Fax Number
- 860-497-0047
Provider Business Mailing Address Details
- Address
- 113 Labby RD
North Grosvenordale, CT 06255-1247 - City
- North Grosvenordale
- State
- CT
- Zip
- 06255-1247
- Phone Number
- 607-643-2178
License Information
- License Number (1)
- 10108
- License State (1)
- MA
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 4145
- License State (2)
- CT
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near North Grosvenordale, CT
View all Occupational Therapists in North Grosvenordale →- Nita Chatterjee, MDFamily Medicine · NPI 1164469854
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- Kailey Bennett, COTA/LOccupational Therapy Assistant · NPI 1235997628
- Natalee G Cifuentes, DPTPhysical Therapist · NPI 1902451222
- Mrs. Kristine M Dipasquale, COTAOccupational Therapy Assistant · NPI 1467004085
- Noah D AubinStudent in an Organized Health Care Education/Training Program · NPI 1699212845
Frequently Asked Questions
What is the NPI number of Dr. Tanya L Clark, OTD, OTR/L?
The NPI number of Dr. Tanya L Clark, OTD, OTR/L is 1427485192. It was assigned on September 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Tanya L Clark, OTD, OTR/L?
Dr. Tanya L Clark, OTD, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 10108.
Where does Dr. Tanya L Clark, OTD, OTR/L practice?
The practice location is 113 Labby RD, North Grosvenordale, CT 06255-1247. The office can be reached at 860-497-0239 (phone) or 860-497-0047 (fax).
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 1427485192 directly on the NPPES registry website.