Individual provider · Type 1 NPI

Angelique Clark-Miller, OTR/L

Occupational Therapist · Louisville, KY

NPI number 1164512406 Active

Practice location

1227 Goss Ave
Louisville, KY 40217-1239

Fax (502) 636-0351

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XR2290 (KY)

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 1164512406

Angelique Clark-Miller, OTR/L's National Provider Identifier is 1164512406, issued on Oct 16, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.