Individual provider · Type 1 NPI

Jacob C. Clark

Occupational Therapy Assistant · Detroit, MI

NPI number 1205468006 Active

Practice location

7800 W Outer Dr Ste 300
Detroit, MI 48235-3458

Call (313) 340-4442 Map

Mailing address

27085 Gratiot Ave Ste 101
Roseville, MI 48066-2984

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X52002008500 (MI)

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 1205468006

Jacob C. Clark's National Provider Identifier is 1205468006, issued on Feb 10, 2020. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 10, 2020.