Individual provider · Type 1 NPI

Jennifer G. Clark, MOT, OTR/L

Occupational Therapist · Lutz, FL

NPI number 1043012750 Active

Practice location

108 Myrtle Ridge Rd
Lutz, FL 33549-5645

Mailing address

4548 Braesgate Ct
Land O Lakes, FL 34639-6440

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X26023 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1043012750

Jennifer G. Clark, MOT, OTR/L's National Provider Identifier is 1043012750, issued on Mar 25, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lutz, FL. The record was last updated on Mar 25, 2025.