Clifton Peterray Clarke
Occupational Therapist in Aberdeen, MD. Individual provider (NPI-1).
NPI number1790992147
StatusActive
Last updated in NPPESJul 2, 2012
Details
- NPI
- 1790992147
- Entity type
- Individual (NPI-1)
- Name
- Mr. Clifton Peterray Clarke
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2007
- Last updated
- Jul 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 05787 | MD | Yes |
Practice location
4707 Thistle Hill DrAberdeen, MD 21001
Phone 410-272-3613
Mailing address
4707 Thistle Hill DriveAberdeen, MD 21001-1661
Phone 410-272-3613
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Other Occupational Therapist providers in Aberdeen, MD
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