Individual provider · Type 1 NPI

Liza Henty-Clark, OTR/L

Occupational Therapist · Santa Rosa, CA

NPI number 1639089402 Active

Practice location

110 Stony Point Rd
Santa Rosa, CA 95401-4189

Call (530) 906-5073 Map

Mailing address

424 Simi Pl
Santa Rosa, CA 95409-3622

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X15564 (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 1639089402

Liza Henty-Clark, OTR/L's National Provider Identifier is 1639089402, issued on Sep 11, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 11, 2026.