Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Asia Renee Clark, COTA

Individual provider Occupational Therapist · NPI 1134891435

Asia Renee Clark, COTA is an Occupational Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
2
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

8552 S Bennett Ave Apt 3
Chicago, IL 60617-2364
Phone: (773) 656-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.015612 (IL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057.005571 (IL)

Record details

NPI number1134891435
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedOctober 4, 2021
Last updated in NPPESAugust 14, 2023
Certification dateAugust 13, 2023

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