Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE CLARK
ActiveJACKIE CLARK is a Occupational Therapist healthcare provider located in PARRISH, Florida. NPI 1124474457 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PARRISH, FL
Registration Details
- NPI Number
- 1124474457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2016 (10.283001862845 yrs)
- Last Updated
- Dec 6, 2016
- License
-
OT14395 (FL)
Practice Information
- Address
-
11472 WALDEN LOOPPARRISH, FL, 342197565Browse FL providers · Browse ZIP 34219
- Phone
- 9418067555
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in PARRISH, FL
| Name | Credential | NPI |
|---|---|---|
| MARIA SCUEL | OT | 1902073034 |
| LAWRENCE ALLEN HENRY | OTR/L | 1679737118 |
| ELIZABETH WETZEL | OTR/L | 1518201904 |
| BRITTNEY LEIBHAM | — | 1063937563 |
| MRS. JYOTI GUPTA | — | 1760021869 |
| MALLORY ANN RICKLOFF | OTR/L | 1225751746 |
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.