Individual provider · Type 1 NPI

Theresa Clark, C.O.T.A.

Occupational Therapy Assistant · Dyer, IN

NPI number 1659520799 Active

Practice location

2300 Great Lakes Dr
Dyer, IN 46311-1917

Call (219) 322-3555 Map

Mailing address

612 215th St
Dyer, IN 46311-1512

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X32001147A (IN)

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 1659520799

Theresa Clark, C.O.T.A.'s National Provider Identifier is 1659520799, issued on Sep 12, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dyer, IN. The record was last updated on Sep 12, 2008.