WANDA LOUISE CLARK (OTA) – Occupational Therapy Assistant, NPI 1578764056

Occupational Therapy Assistant

WANDA LOUISE CLARK (OTA) is a healthcare provider. based in Middleburg, Florida. specializing in Occupational Therapy Assistant. They hold the professional credentials OTA. They hold a License No. OTA4733 (FL). The NPI Number for WANDA LOUISE CLARK (OTA) is 1578764056

Main info

Female

Name

WANDA LOUISE CLARK (OTA)

NPI

1578764056

Phone

(904) 406-9239

Address

1563 HARVEST COVE DR

Enumeration Date

30 May 2007

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for WANDA LOUISE CLARK (OTA)

1563 HARVEST COVE DR
MIDDLEBURG, FL 320686837
Phone: (904) 406-9239
Type: Mailing
1422, San Marco Boulevard, San Marco, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322078536
Phone: (904) 306-0177
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32068)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for WANDA LOUISE CLARK (OTA) in U.S. healthcare records?

The official identifier for WANDA LOUISE CLARK (OTA) is NPI 1578764056.

Active or inactive — what applies to WANDA LOUISE CLARK (OTA)?

You should see WANDA LOUISE CLARK (OTA) as active in CMS-hosted NPPES data.

How would a patient describe WANDA LOUISE CLARK (OTA)'s focus?

For WANDA LOUISE CLARK (OTA), the primary taxonomy reads as Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.

Where in Florida is WANDA LOUISE CLARK (OTA) registered?

Use Middleburg, Florida as the headline location for WANDA LOUISE CLARK (OTA) here.

Does WANDA LOUISE CLARK (OTA) accept insurance?

Insurance participation is not part of the core NPI extract — call the plan or office to confirm.