DE'ATRA PRUETT CLARK OT
NPI 1164427209
Occupational Therapist in Jacksonville, FL
About De'atra Pruett Clark Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DE'ATRA PRUETT CLARK OT (NPI 1164427209) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (OT0007576) and active in the NPI registry since June 2005.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is De'atra Clark's NPI number?
The NPI number for De'atra Clark is 1164427209. It was assigned to this individual provider in the NPPES registry on June 16, 2005.
Where is De'atra Clark located?
De'atra Clark practices at 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207. The listed phone number is (904) 858-7045.
What is De'atra Clark's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
What insurance does De'atra Clark accept?
Health plans from AvMed and Oscar Health Maintenance Organization of Florida list De'atra Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for De'atra Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.