NPI 1184438475

Nicole Clark, COTAL

Practitioner Occupational Therapy Assistant Johnston, RI

Practice location

Address: 1526 Atwood Ave STE 202, Johnston, RI 02919-3289
Phone: (401) 642-8080
Mailing address: 5 Scott Dr, Riverside, RI 02915-2617

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA01080 (RI)

Other Occupational Therapy Assistant providers in Rhode Island →

Registry record

NPI: 1184438475
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2025
Record last updated: 5 Feb 2025

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.