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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOEL CLARK I, COTA

Active Sole Proprietor

JOEL CLARK I, COTA is a Occupational Therapy Assistant healthcare provider located in FARMVILLE, Virginia. NPI 1104247212 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FARMVILLE, VA

Registration Details

NPI Number
1104247212
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2013 (12.615955550957 yrs)
Last Updated
Dec 17, 2013
License
0131000186 (VA)
Sole Proprietor
Yes

Practice Information

Address
2003 COBB ST
FARMVILLE, VA, 239012603
Browse VA providers · Browse ZIP 23901
Phone
4343916061
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FARMVILLE, VA

Name Credential NPI
MRS. KATHLEEN H REDFORD COTA 1265866883
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.