Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA CLARK, COTA
ActiveAMANDA CLARK, COTA is a Occupational Therapy Assistant healthcare provider located in FAIRVIEW, Tennessee. NPI 1992257281 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FAIRVIEW, TN
Registration Details
- NPI Number
- 1992257281
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2016 (9.7392259458429 yrs)
- Last Updated
- Aug 29, 2018
- Licenses
-
OTA16750 (FL)OTA.0001097 (CO)OTP-OTA-LIC-6114 (MT)2598 (TN)
Practice Information
- Address
-
7146 BAHNE RDFAIRVIEW, TN, 37062Browse TN providers · Browse ZIP 37062
- Phone
- 6154185498
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Occupational Therapy Assistant
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.