Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KLOCKO, PTA
Active Sole ProprietorMARK 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 25SHREVEPORT, LA, 711043843Browse 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.