Individual provider · Type 1 NPI

Jackie Clark

Occupational Therapist · Parrish, FL

NPI number 1124474457 Active

Practice location

11472 Walden Loop
Parrish, FL 34219-7565

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT14395 (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 1124474457

Jackie Clark's National Provider Identifier is 1124474457, issued on May 5, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Parrish, FL. The record was last updated on Dec 6, 2016.