Search › Illinois › 224Z00000X
Koletta Clarke, COTA
NPI 1285924092 · on the registry since 2011
Practice
- Address
- 208 Zachery Dr
Mount Vernon, IL 62864 - Phone
- (618) 204-5497
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-13
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