Abby Layne Clark, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Prescott, AR
NPI 1033937255 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1033937255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA-2062 (AR)
- Practice address
- 504 E 4TH St N
Prescott, AR 71857-2254 - Phone
- (870) 887-6674
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-2062 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNC, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-2062 | AR | Yes |
Addresses
Primary practice location
504 E 4TH St N
Prescott, AR 71857-2254
Mailing address
306 Lafayette 21
Buckner, AR 71827-9510
Phone (870) 904-3086
Other providers in Prescott, AR
- Kenoshia Brown
- Jackie Denise Bullock
- Myeshea Burton
- J Dawn Butler
- Charles Vermont, M.D., PLLC
- Amanda Gayle Collier
- Collom & Carney Clinic
- Collom & Carney Clinic Association
- Linda Conway
- Kendra N Copeland
All providers in Prescott, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.