Brittany Nicole Clark, is a
Occupational Therapy Assistant based in Columbus, Indiana. Brittany Nicole Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
4610 25th St, Columbus, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 314-2378.
NPI number for Brittany Nicole Clark is 1285362293 and her current mailing address is 4610 25th St, Columbus, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285362293.
Healthcare Provider's Profile
| Full Name | Brittany Nicole Clark |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapy Assistant |
|---|
| Location | 4610 25th St, Columbus, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285362293
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 01/28/2025
Medical Identifiers
Medical identifiers for Brittany Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285362293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | 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. Brittany 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 |
|---|
Brittany Nicole Clark,
4610 25th St,
Columbus, IN 47203-3239
Ph: (812) 314-2378 | Brittany Nicole Clark,
4610 25th St,
Columbus, IN 47203-3239
Ph: (812) 314-2378 |
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