Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH EUGENE CLARK, COTA
Active Sole ProprietorKENNETH EUGENE CLARK, COTA is a Occupational Therapy Assistant healthcare provider located in COLORADO SPRINGS, Colorado. NPI 1063887834 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · COLORADO SPRINGS, CO
Registration Details
- NPI Number
- 1063887834
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2015 (10.658449183773 yrs)
- Last Updated
- Dec 4, 2015
- License
-
OTA.0000671 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4885 ELDON DR SCOLORADO SPRINGS, CO, 809164431Browse CO providers · Browse ZIP 80916
- Phone
- 2534863624
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in COLORADO SPRINGS, CO
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA A WOOTEN | COTA | 1902017353 |
| MRS. SANDRA KAY GABOR | C.O.T.A. | 1437348901 |
| TERESA KLOKKENGA | — | 1063695153 |
| CHRISTIAN ROBIN SHORT | — | 1942463211 |
| MS. ANNE ASTRELLA BUEL | COTA | 1659527349 |
| MS. GRACE KATHRYN HAZELL | COTA | 1033411400 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.