Individual provider · Type 1 NPI

Brennan Naliyah Clark

Occupational Therapy Assistant · Jackson, MS

NPI number 1992678288 Active

Practice location

13 Northtown Dr Ste 110
Jackson, MS 39211-3047

Call (601) 206-9195 Map

Fax (601) 957-8391

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA4092 (MS)

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 1992678288

Brennan Naliyah Clark's National Provider Identifier is 1992678288, issued on Sep 24, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 24, 2025.