Individual provider · Type 1 NPI

Kelly Sue Clark, OTR/L

Occupational Therapist · Los Angeles, CA

NPI number 1356858633 Active

Practice location

6076 Bristol Pkwy Ste 105
Los Angeles, CA 90230-6600

Call (310) 642-7700 Map

Fax (310) 642-7700

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X12874 (CA)

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 1356858633

Kelly Sue Clark, OTR/L's National Provider Identifier is 1356858633, issued on Jan 8, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 8, 2018.