Individual provider · Type 1 NPI

Charley Clark, COTA

Occupational Therapy Assistant · San Antonio, TX

NPI number 1235714775 Active

Practice location

9514 Console Dr
San Antonio, TX 78229-2069

Call (210) 448-9111 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X216616 (TX)

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 1235714775

Charley Clark, COTA's National Provider Identifier is 1235714775, issued on Mar 16, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 16, 2021.