IndividualActive
Camiel Clark, OTR/L
NPI 1821534439 · Occupational Therapist · Pocatello, ID
Provider details
- NPI number
- 1821534439
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT-1635 (ID)
Mailing address
1615 E Clark St
Pocatello, ID 83201-4049
Registry dates
- Enumerated
- 2017-01-06
- Last updated
- 2017-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.