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CLARK UPTON, COTA/L

Active Sole Proprietor

CLARK UPTON, COTA/L is a Occupational Therapy Assistant healthcare provider located in BRIDGEWATER, Virginia. NPI 1215280599 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BRIDGEWATER, VA

Registration Details

NPI Number
1215280599
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2012 (13.849533124283 yrs)
Last Updated
Oct 31, 2012
License
0131000288 (VA)
Sole Proprietor
Yes

Practice Information

Address
302 N 2ND ST
BRIDGEWATER, VA, 228121712
Browse VA providers · Browse ZIP 22812
Phone
5408283738
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BRIDGEWATER, VA

Name Credential NPI
MARY GRACE DAVY 1982111993
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.