IndividualActive
Khalen Clark, OTD
NPI 1629798905 · Gerontology Occupational Therapist · Ruskin, FL
Provider details
- NPI number
- 1629798905
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3533 Great Cypress Cir Apt 302
Ruskin, FL 33573-6863
Phone: (412) 526-2921
Approximate (ZIP-level) locationGet directions
Mailing address
3533 Great Cypress Cir Apt 302
Ruskin, FL 33573-6863
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.