MS. Nicole Clark, COTA/L
NPI #1184438475 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1184438475
- Entity Type
- Individual
- Name
- MS. Nicole Clark, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Feb 5, 2025
- Last Updated
- Feb 5, 2025
Practice Location
- Address
- 1526 ATWOOD AVE STE 202
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3289
- Phone
- (401) 642-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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