Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOLETTA RAE CLARKE, COTA
ActiveKOLETTA RAE CLARKE, COTA is a Occupational Therapy Assistant healthcare provider located in MOUNT VERNON, Illinois. NPI 1285924092 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1285924092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2011 (15.319736566891 yrs)
- Last Updated
- Apr 13, 2011
- License
-
057.003262 (IL)
Practice Information
- Address
-
208 ZACHERY DRMOUNT VERNON, IL, 628646712Browse IL providers · Browse ZIP 62864
- Phone
- 6182045497
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY DAWN WEBB | COTAL | 1902002074 |
| SERENA GAIL JONES | — | 1336324151 |
| LISA RILEY | COTA/L | 1225287089 |
| PHILIP MCINTOSH | — | 1932488350 |
| MARY K MCGARVEY | COTA | 1245711779 |
| ASHLEY MARIE FLANIGAN | — | 1679122618 |
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.