Briana Clark
Occupational Therapist in Chesterton, IN. Individual provider (NPI-1).
NPI number1972045748
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1972045748
- Entity type
- Individual (NPI-1)
- Name
- Briana Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2016
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 31006965A | IN | Yes |
Practice location
1595 S Calumet Rd Ste 3Chesterton, IN 46304-2389
Phone 219-764-4888
Mailing address
1595 S Calumet Rd Ste 3Chesterton, IN 46304-2389
Phone 219-764-4888
Other practice locations
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All 66 Occupational Therapist providers in Chesterton · All 693 providers in Chesterton
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