Individual provider · Type 1 NPI

Jesse Clark, COTA

Occupational Therapy Assistant · Dubuque, IA

NPI number 1699323931 Active

Practice location

3485 Windsor Ave
Dubuque, IA 52001-1329

Mailing address

418 Council St
Anamosa, IA 52205-4711

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1699323931

Jesse Clark, COTA's National Provider Identifier is 1699323931, issued on Aug 29, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dubuque, IA. The record was last updated on Aug 29, 2019.