Individual provider · Type 1 NPI

Kristine Julia Clark, OTD, OTR/L

Occupational Therapist · Valdosta, GA

NPI number 1366150591 Active

Practice location

809 N Patterson St
Valdosta, GA 31601-4528

Fax (229) 469-6933

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT008605 (GA)

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 1366150591

Kristine Julia Clark, OTD, OTR/L's National Provider Identifier is 1366150591, issued on Nov 7, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Valdosta, GA. The record was last updated on Jan 29, 2025.