Individual provider · Type 1 NPI

Christine Ruth Clark, COTA

Occupational Therapy Assistant · Two Rivers, WI

NPI number 1720113475 Active

Practice location

5000 Memorial Dr
Two Rivers, WI 54241-3900

Call (920) 794-5176 Map

Fax (920) 794-5472

Mailing address

2367 S 18th St
Manitowoc, WI 54220-6453

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X1063-027 (WI)

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 1720113475

Christine Ruth Clark, COTA's National Provider Identifier is 1720113475, issued on Feb 22, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Two Rivers, WI. The record was last updated on Jul 8, 2007.