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

MR. JASON CLARK, PTA

Active

MR. JASON CLARK, PTA is a Occupational Therapist healthcare provider located in ONTONAGON, Michigan. NPI 1457632705 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ONTONAGON, MI

Registration Details

NPI Number
1457632705
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2011 (14.923980202364 yrs)
Last Updated
Aug 31, 2011
License
L2065720 (MI)

Practice Information

Address
1001 GIESAU DR
ONTONAGON, MI, 499531454
Browse MI providers · Browse ZIP 49953
Phone
9068846092
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ONTONAGON, MI

Name Credential NPI
COLLEEN MARIE LUNDGREN PTA 1578288643
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.