Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA M CLARK, OTR
Active Sole ProprietorTERESA M CLARK, OTR is a Occupational Therapist healthcare provider located in MORA, Minnesota. NPI 1912307109 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MORA, MN
Registration Details
- NPI Number
- 1912307109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2014 (11.937049566355 yrs)
- Last Updated
- Aug 26, 2014
- Licenses
-
103264 (MN)3919-26 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 HIGHWAY 65 SMORA, MN, 550511899Browse MN providers · Browse ZIP 55051
- Phone
- 3202253356
- Fax
- 3202253370
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in MORA, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA GAALSWYK | OT | 1275966434 |
| MS. HEATHER ALEXANDER | MA OTR/L | 1912313529 |
| KATLYN LEE LOMBARD | — | 1720867021 |
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.