Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DE'ATRA PRUETT CLARK, OT
ActiveOccupational Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1164427209
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2005 (20.847901847401 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT0007576 (FL)
Practice Information
- Address
-
1325 SAN MARCO BLVDSTE 102JACKSONVILLE, FL, 322078549Browse FL providers · Browse ZIP 32207
- Phone
- 9048587045
- Fax
- 9048587047
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANN SEGLER | OT | 1922003342 |
| ELISABETH CULLUM MCGEE | OT | 1821093295 |
| DIANA V CRATEM | OT | 1457356867 |
| JULIA DIANE GUTHART | OT | 1275538696 |
| HEATHER L LOPEZ | OTR/L, CHT | 1629075502 |
| KAREN ANNE CURTIN | OT | 1952384851 |
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.