OrganizationActive
Ashley D Clark, OT Services
NPI 1104275452 · Early Intervention Provider Agency · Mount Vernon, KY
Provider details
- NPI number
- 1104275452
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ashley Clark, Occupational Therapist(606) 308-5616
- License
- R4358 (KY)
Specialties & taxonomies
Agencies
Practice location
2678 E Level Green Rd
Mount Vernon, KY 40456-8554
Phone: (606) 308-5616
Fax: (606) 308-5616
Approximate (ZIP-level) locationGet directions
Mailing address
2678 E Level Green Rd
Mount Vernon, KY 40456-8554
Other names (DBA / former)
- Other name
- Ashley D Clark, OT Services
Registry dates
- Enumerated
- 2016-06-08
- Last updated
- 2016-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.