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

Individual provider Occupational Therapy Assistant · NPI 1235714775

Charley Clark, COTA is an Occupational Therapy Assistant in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
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

9514 Console Dr
San Antonio, TX 78229-2069
Phone: (210) 448-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 216616 (TX)

Record details

NPI number1235714775
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESMarch 16, 2021
Certification dateMarch 15, 2021
Mailing address9514 Console Dr, San Antonio, TX 78229-2069

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