Robert Kenneth Clark

Occupational Therapy Assistant · Fredericksburg, TX

Individual Active NPI

NPI number 1083195333

Practice location

1208 N Llano St
Fredericksburg, TX 78624-3514
Phone
(830) 997-3704

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NPI record

NPI
1083195333
Entity type
Individual (Type 1)
Enumeration date
August 24, 2018
Last updated
August 24, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 211440 TX

Mailing address

108 E Lower Crabapple Rd Apt 726
Fredericksburg, TX 78624-2317
Phone
(361) 904-3801

About Robert Clark

Robert Kenneth Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1208 N Llano St, Fredericksburg, TX 78624-3514. The NPI number 1083195333 was assigned on August 24, 2018 and the record was last updated on August 24, 2018.

Robert Clark lists a license in the registry: #211440 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Kenneth Clark?

The NPI number is 1083195333.

What is the phone number of Robert Clark?

The phone number listed for the practice location is (830) 997-3704.

Where is Robert Clark located?

1208 N Llano St, Fredericksburg, TX 78624-3514.

What is the taxonomy code for Robert Clark?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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