Individual provider · Type 1 NPI

Crystal Clark

Occupational Therapist · Rosamond, CA

NPI number 1154861292 Active

Practice location

2601 W Rosamond Blvd
Rosamond, CA 93560-6434

Mailing address

3145 Summer Breeze Ave
Rosamond, CA 93560-7820

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR3025 (AR)

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 1154861292

Crystal Clark's National Provider Identifier is 1154861292, issued on Mar 7, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rosamond, CA. The record was last updated on Jan 22, 2026.