Individual provider · Type 1 NPI

Beverly Elaine Clark, OT

Occupational Therapist · Wichita, KS

NPI number 1861742777 Active

Practice location

10803 Par Lane
Wichita, KS 67212-5948

Mailing address

10803 W Par Ln
Wichita, KS 67212-5948

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X17-00289 (KS)

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 1861742777

Beverly Elaine Clark, OT's National Provider Identifier is 1861742777, issued on Sep 18, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wichita, KS. The record was last updated on Sep 18, 2012.