Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB C CLARK
ActiveJACOB C CLARK is a Occupational Therapy Assistant healthcare provider located in DETROIT, Michigan. NPI 1205468006 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DETROIT, MI
Registration Details
- NPI Number
- 1205468006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2020 (6.5385678635684 yrs)
- Last Updated
- Feb 10, 2020
- License
-
52002008500 (MI)
Practice Information
- Address
-
7800 W OUTER DR STE 300DETROIT, MI, 482353458Browse MI providers · Browse ZIP 48235
- Phone
- 3133404442
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTINE THERESA BEARD | COTA | 1578577003 |
| MS. LYNDA T CUNNINGHAM | OTA | 1588767966 |
| MRS. MARY JANE AUDIA-VALLIER | OTR | 1558401422 |
| MS. VANGIE ANN JONES | COTA | 1215146048 |
| ALETHIA STERN | — | 1093908972 |
| FAILICA RENEE WILLIAMSON | C.O.T.A. | 1962665554 |
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.