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Clark Upton, COTA/L

NPI 1215280599 · on the registry since 2012 · sole proprietor

Practice

Address: 302 N 2nd St
Bridgewater, VA 22812
Phone: (540) 828-3738
Organisation at this address: Bridgewater Home, Inc.
Bridgewater Healthcare Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-31

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 Virginia