Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dejaney Clark, OTD, OTR/L

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083366504

Dejaney Clark, OTD, OTR/L is a Student in an Organized Health Care Education/Training Program in Alhambra, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1000 S Fremont Ave Unit 27
Alhambra, CA 91803-8849
Phone: (323) 341-5580
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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 25882 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083366504
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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