Individual provider · Type 1 NPI

Leita Faye Clark, COTA/L

Occupational Therapy Assistant · Jersey Shore, PA

NPI number 1235382177 Active

Practice location

1008 Thompson St
Jersey Shore, PA 17740-1729

Call (570) 398-4747 Map

Mailing address

293 Chestnut Ridge Rd
Jersey Shore, PA 17740-8930

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOP000930L (PA)

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 1235382177

Leita Faye Clark, COTA/L's National Provider Identifier is 1235382177, issued on Oct 23, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jersey Shore, PA. The record was last updated on Oct 23, 2008.