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

Individual provider Occupational Therapist · NPI 1487172763

Ellie Ann Clark, OTD, OTR/L is an Occupational Therapist in Rochester, Minnesota. Works from 2 locations. Licensed in California and Minnesota.

Licensed in
CA, MN
In the registry since
2017
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

200 1st St SW
Rochester, MN 55905-0080
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1540 Alcazar St # St-133, Los Angeles, CA 90089-0080 — (619) 384-4678

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 106342 (MN)
Occupational Therapist Taxonomy 225X00000X · Licence 20541 (CA)

Record details

NPI number1487172763
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedSeptember 6, 2017
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

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