IndividualActive
Alyssa Clark
NPI 1750931648 · Occupational Therapist · Mchenry, IL
Provider details
- NPI number
- 1750931648
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 056.013238 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4605 W Crystal Lake Rd
Mchenry, IL 60050-5484
Phone: (224) 202-7114
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 213
Elgin, IL 60121-0213
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.