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

Kenneth Eugene Clark, COTA

Individual provider Occupational Therapy Assistant · NPI 1063887834

Kenneth Eugene Clark, COTA is an Occupational Therapy Assistant in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2015
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4885 Eldon Dr S
Colorado Springs, CO 80916-4431
Phone: (253) 486-3624
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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 OTA.0000671 (CO)

Record details

NPI number1063887834
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015

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