NPI 1306113428
Ashley Marie Clark, COTAL
Practice location
- Address
- 7050 Centennial Dr, Tinley Park, IL 60477-1649
- Phone
- (708) 614-1782
- Fax
- (708) 429-5868
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1306113428
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2011
- Record last updated
- 17 Nov 2011
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.