Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA LEIGH CLARK, COTA/L
Active Sole ProprietorMRS. AMANDA LEIGH CLARK, COTA/L is a Occupational Therapy Assistant healthcare provider located in PETERSTOWN, West Virginia. NPI 1578938163 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PETERSTOWN, WV
Registration Details
- NPI Number
- 1578938163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2015 (10.656568557385 yrs)
- Last Updated
- Dec 8, 2015
- License
-
0131001133 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
218 MILL HILL ACRES DRPETERSTOWN, WV, 249639797Browse WV providers · Browse ZIP 24963
- Phone
- 5404207025
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.