Chealsea Clark, COTA

Occupational Therapy Assistant · Indialantic, FL

Individual Active NPI

NPI number 1407606676

Practice location

1999 Island Club Dr Apt 29
Indialantic, FL 32903-2073
Phone
(321) 361-8040

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NPI record

NPI
1407606676
Entity type
Individual (Type 1)
Enumeration date
March 22, 2024
Last updated
March 22, 2024
Certified
March 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X OTA19478 FL

Mailing address

328 Emerson Dr. NE
Palm Bay, FL 32907

About Chealsea Clark

Chealsea Clark, COTA is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1999 Island Club Dr Apt 29, Indialantic, FL 32903-2073. The NPI number 1407606676 was assigned on March 22, 2024 and the record was last updated on March 22, 2024.

Chealsea Clark lists a license in the registry: #OTA19478 (FL) 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 Chealsea Clark, COTA?

The NPI number is 1407606676.

What is the phone number of Chealsea Clark?

The phone number listed for the practice location is (321) 361-8040.

Where is Chealsea Clark located?

1999 Island Club Dr Apt 29, Indialantic, FL 32903-2073.

What is the taxonomy code for Chealsea 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.