Lisa M Clark
Occupational Therapy Assistant
3100 Shore Dr
Virginia Beach
, Virginia 23451-1199
Lisa M Clark
Occupational Therapy Assistant
3100 Shore Dr
Virginia Beach
, Virginia 23451-1199
(757) 472-0241
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Lisa M Clark
- 2649 Springhaven Dr
- Virginia Beach, VA
- Zip : 23456-3995
- Phone : (757) 472-0241
Second Address
- Lisa M Clark
- 3100 Shore Dr
- Virginia Beach, VA
- Zip : 23451-1199
- Phone : (757) 496-1102
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131002424 | VA |
National Provider Identifier
| NPI | 1023683703 |
|---|---|
| Provider Name | Lisa M Clark |
| First Address | Virginia Beach, VA 23456-3995 |
| Second Address | Virginia Beach, VA 23451-1199 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2021 |
| Last Update Date | 25/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.