SearchColoradoOccupational Therapy Assistant

Shannon Clark

NPI 1457786675 · on the registry since 2013 · sole proprietor

Practice

Address
860 W 132nd Ave
Spc 268
Westminster, CO 80234
Phone
(720) 495-2942

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-06

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 Colorado