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

MARK KLOCKO, PTA

Active Sole Proprietor

MARK KLOCKO, PTA is a Occupational Therapist healthcare provider located in SHREVEPORT, Louisiana. NPI 1780070763 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SHREVEPORT, LA

Registration Details

NPI Number
1780070763
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2015 (11.32768205784 yrs)
Last Updated
Apr 7, 2015
License
A6908 (LA)
Sole Proprietor
Yes

Practice Information

Address
1401 ODEN ST UNIT 25
SHREVEPORT, LA, 711043843
Browse LA providers · Browse ZIP 71104
Phone
3185600627
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SHREVEPORT, LA

Name Credential NPI
DOROTHY P PHELPS 1487609970
CHERYL LYNN LEWIS 1093754772
BETTY LYNETTE CRAIN PTA 1114076353
MR. JOSEPH LOIACANO P.T.A. 1295929206
MRS. SHERRI LYNN BARDWELL PTA 1407041932
MRS. SHARON DENISE STRANGE PTA 1275710568
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.