Individual provider · Type 1 NPI

Jennifer Marie Clark, COTA

Occupational Therapy Assistant · Wisconsin Rapids, WI

NPI number 1346406063 Active

Practice location

1350 River Run Dr
Wisconsin Rapids, WI 54494-5487

Call (715) 421-7130 Map

Mailing address

2610 Chase St
Wisconsin Rapids, WI 54495-2240

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2046-027 (WI)

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 1346406063

Jennifer Marie Clark, COTA's National Provider Identifier is 1346406063, issued on Aug 1, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Sep 26, 2025.