De'atra Pruett Clark OT

  • NPI 1164427209
According to our database, the NPI number for De'atra Pruett Clark OT is 1164427209 and activated since 18 years ago. De'atra Pruett Clark OT is an individual provider who specializes in Occupational Therapist, and the primary practice location is 1325 San Marco Blvd, Jacksonville, FL 32207. You can also contact De'atra Pruett Clark OT via telephone number is (904) 858-7045. Provider NPI information was last updated on 07/08/2007.

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Overview of De'atra Pruett Clark OT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/16/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225X00000X
  • Specialty: Occupational Therapist
  • License Number: OT0007576
  • License State: FL

Provider Mailing Address

  • Address: 1325 San Marco Blvd
    Suite 701
    Jacksonville, FL 32207
  • Phone: 904-858-6418
  • Fax: 904-858-6490

Provider Practice Location

  • Address: 1325 San Marco Blvd
    Ste 102
    Jacksonville, FL 32207
  • Phone: 904-858-7045
  • Fax: 904-858-7047

Scope of Practice

  • Taxonomy Code: 225X00000X
  • Specialty: Occupational Therapist
  • License Number: OT0007576
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for De'atra Pruett Clark OT?
  • A: The npi number for De'atra Pruett Clark OT is 1164427209.
  • Q: What are De'atra Pruett Clark OT's specialties?
  • A: De'atra Pruett Clark OT's specialties are Occupational Therapist and different specialities.
  • Q: What is the medical license for De'atra Pruett Clark OT?
  • A: The medical license number for De'atra Pruett Clark OT is OT0007576 and issued in FL in USA.
  • Q: Where is De'atra Pruett Clark OT practice location?
  • A: De'atra Pruett Clark OT is practicing at 1325 San Marco Blvd, Jacksonville, FL 32207.
  • Q: How to contact De'atra Pruett Clark OT?
  • A: You can contact De'atra Pruett Clark OT via 904-858-7045.