Mrs. Kelly Clark, COTA
Occupational Therapy Assistant in Dover, New Jersey
1447567383- Practice location
- 65 N Sussex St, Dover, NJ 07801-3949
- Phone
- 973-361-5200
- Fax
- —
- Last updated
- September 13, 2010
Kelly Clark is an Occupational Therapy Assistant based in Dover, NJ. Kelly Clark practices in Dover, NJ and has the professional credentials of COTA. The NPI Number for Kelly Clark is 1447567383 and holds a License No. 46TA09075500 (NJ). The current practice location address for Kelly Clark is 65 N Sussex St, Dover, NJ 07801-3949 and can be reached out via phone at 973-361-5200.
Provider Profile Details
- NPI Number
- 1447567383
- Provider Name
- Kelly Clark
- Credential
- COTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 65 N Sussex St, Dover, NJ 07801-3949
- Phone Number
- 973-361-5200
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2010
- Last Update Date
- September 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 N Sussex St
Dover, NJ 07801-3949 - City
- Dover
- State
- New Jersey
- Zip
- 07801-3949
- Phone Number
- 973-361-5200
Provider Business Mailing Address Details
- Address
- 126 Brooklyn RD
Stanhope, NJ 07874-2966 - City
- Stanhope
- State
- NJ
- Zip
- 07874-2966
- Phone Number
- 973-691-0640
License Information
- License Number
- 46TA09075500
- License State
- NJ
- 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. | |||
Other Occupational Therapy Assistants near Dover, NJ
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- Steven T Pickel, PTAPhysical Therapy Assistant · NPI 1972744068
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Frequently Asked Questions
What is the NPI number of Mrs. Kelly Clark, COTA?
The NPI number of Mrs. Kelly Clark, COTA is 1447567383. It was assigned on September 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly Clark, COTA?
Mrs. Kelly Clark, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09075500.
Where does Mrs. Kelly Clark, COTA practice?
The practice location is 65 N Sussex St, Dover, NJ 07801-3949. The office can be reached at 973-361-5200 (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 1447567383 directly on the NPPES registry website.