Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KHALEN DEWAR CLARK, OTD
Active Sole ProprietorDR. KHALEN DEWAR CLARK, OTD is a Gerontology Occupational Therapist healthcare provider located in RUSKIN, Florida. NPI 1629798905 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · RUSKIN, FL
Registration Details
- NPI Number
- 1629798905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2022 (3.9198698846386 yrs)
- Last Updated
- Aug 29, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3533 GREAT CYPRESS CIR APT 302RUSKIN, FL, 335736863Browse FL providers · Browse ZIP 33573
- Phone
- 4125262921
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
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.