Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAYDEN CLAYE CLARK
ActiveBRAYDEN CLAYE CLARK is a Environmental Modification (OT) healthcare provider located in FORT WAYNE, Indiana. NPI 1316787823 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · FORT WAYNE, IN
Registration Details
- NPI Number
- 1316787823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2024 (2.2165232557357 yrs)
- Last Updated
- Jun 4, 2024
- License
-
05015560A (IN)
Practice Information
- Address
-
11143 PARKVIEW PLAZA DR STE 100FORT WAYNE, IN, 468451728Browse IN providers · Browse ZIP 46845
- Phone
- 2602667400
- Fax
- 2602667439
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Other Environmental Modification (OT) Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| EVAN JURJEVIC | — | 1154990893 |
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.