Michelle Ann Clark, LOTR is a
Occupational Therapist based in Deridder, Louisiana. Michelle Ann Clark is licensed to practice in Louisiana (license number OTT.Z11886) and her current practice location is
457 C Dees Rd, Deridder, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(404) 433-1208.
NPI number for Michelle Ann Clark is 1215176664 and her current mailing address is 457 C Dees Rd, Deridder, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215176664.
Healthcare Provider's Profile
Full Name | Michelle Ann Clark |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 457 C Dees Rd, Deridder, Louisiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215176664
- Provider Enumeration Date: 02/09/2009
- Last Update Date: 02/09/2009
Medical Identifiers
Medical identifiers for Michelle Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215176664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OTT.Z11886 (Louisiana) | 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. Michelle Ann 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 |
Michelle Ann Clark, LOTR 457 C Dees Rd, Deridder, LA 70634-8935 Ph: (404) 433-1208 | Michelle Ann Clark, LOTR 457 C Dees Rd, Deridder, LA 70634-8935 Ph: (404) 433-1208 |
Reviews and Comments