NPI 1023683703

Lisa M Clark

Practitioner Occupational Therapy Assistant Virginia Beach, VA

Practice location

Address: 3100 Shore Dr, Virginia Beach, VA 23451-1199
Phone: (757) 496-1102
Mailing address: 2649 Springhaven Dr, Virginia Beach, VA 23456-3995

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131002424 (VA)

Other Occupational Therapy Assistant providers in Virginia →

Registry record

NPI: 1023683703
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2021
Record last updated: 25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.