Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUSTY CLARK, PTA
ActiveDUSTY CLARK, PTA is a Occupational Therapist healthcare provider located in GLENDALE, Wisconsin. NPI 1306344163 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GLENDALE, WI
Registration Details
- NPI Number
- 1306344163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2018 (8.5745835217776 yrs)
- Last Updated
- Jul 21, 2021
- License
-
1880-19 (WI)
Practice Information
- Address
-
5333 N PORT WASHINGTON RD STE BGLENDALE, WI, 532174914Browse WI providers · Browse ZIP 53217
- Phone
- 4147161770
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GLENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. ANGELA EVANS | PTA | 1528227949 |
| MS. LEE XIONG | PTA | 1962074914 |
| MISS RANDI ROSE FENNIG | — | 1831865302 |
| EMILY GRINER | PTA | 1932871902 |
| KAITLIN BRIANNE STIEVE | — | 1053078352 |
| MELANIE DAWN KEYS | — | 1780379578 |
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.