Paige Clark, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · North Kingstown, RI

NPI 1831786797 · NPPES record last updated Sep 29, 2023

Key facts

NPI
1831786797
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA01176 (RI)
Practice address
50 Oak Hill Rd
North Kingstown, RI 02852-6004
Phone
(401) 835-1814
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA01176RIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA01176 RI Yes

Addresses

Primary practice location

50 Oak Hill Rd
North Kingstown, RI 02852-6004

Mailing address

50 Oak Hill Rd
North Kingstown, RI 02852-6004
Phone (401) 835-1814

Other providers in North Kingstown, RI

All providers in North Kingstown, RI · Occupational Therapy Assistant in Rhode Island

Sources for this page

Verify at the official NPI Registry.