Angela Nicole Clark, OTRL is a
Occupational Therapist based in Telford, Tennessee. Angela Nicole Clark is licensed to practice in Tennessee (license number 4328) and her current practice location is
210 Oriole Ln, Telford, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 416-2242.
NPI number for Angela Nicole Clark is 1316339294 and her current mailing address is 210 Oriole Ln, Telford, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316339294.
Healthcare Provider's Profile
| Full Name | Angela Nicole Clark |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 210 Oriole Ln, Telford, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316339294
- Provider Enumeration Date: 03/02/2015
- Last Update Date: 03/02/2015
Medical Identifiers
Medical identifiers for Angela Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316339294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 4328 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Nicole Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angela Nicole Clark, OTRL
210 Oriole Ln,
Telford, TN 37690-2370
Ph: () - | Angela Nicole Clark, OTRL
210 Oriole Ln,
Telford, TN 37690-2370
Ph: (423) 416-2242 |
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