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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAITH CLARK, LPTA

Active Sole Proprietor

FAITH CLARK, LPTA is a Occupational Therapist healthcare provider located in WATERLOO, Illinois. NPI 1346699212 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WATERLOO, IL

Registration Details

NPI Number
1346699212
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2016 (10.140178059887 yrs)
Last Updated
Dec 15, 2021
Sole Proprietor
Yes

Practice Information

Address
623 HAMACHER ST
WATERLOO, IL, 622981786
Browse IL providers · Browse ZIP 62298
Phone
6184203164
Primary Specialty
Occupational Therapist
225200000X
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.