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

BAILEY CLARK, COTA/L

Active

BAILEY CLARK, COTA/L is a Occupational Therapy Assistant healthcare provider located in LAKE BUTLER, Florida. NPI 1750964706 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAKE BUTLER, FL

Registration Details

NPI Number
1750964706
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2021 (5.3025495734599 yrs)
Last Updated
Apr 28, 2021
License
OTA17741 (FL)

Practice Information

Address
850 E MAIN ST
LAKE BUTLER, FL, 320541353
Browse FL providers · Browse ZIP 32054
Phone
3864962323
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.