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Asia Clark, COTA
NPI 1134891435 · on the registry since 2021 · sole proprietor
Practice
- Address
- 8552 S Bennett Ave Apt 3
Chicago, IL 60617 - Phone
- (773) 656-3312
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois