Individual provider · Type 1 NPI

Jennifer Bowlin Clark, COTA

Occupational Therapy Assistant · Bryan, TX

NPI number 1003136821 Active

Practice location

1318 Memorial Dr
Bryan, TX 77802-5215

Call (979) 776-2872 Map

Fax (979) 776-1456

Mailing address

15166 Yerby Rd
Iola, TX 77861-4321

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X210483 (TX)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003136821

Jennifer Bowlin Clark, COTA's National Provider Identifier is 1003136821, issued on Jun 3, 2010. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bryan, TX. The record was last updated on Apr 15, 2014.