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

Lisa M Clark

Individual provider Occupational Therapy Assistant · NPI 1023683703

Lisa M Clark is an Occupational Therapy Assistant in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
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Practice location Address checks out

3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone: (757) 496-1102
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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 0131002424 (VA)

Record details

NPI number1023683703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address2649 Springhaven Dr, Virginia Beach, VA 23456-3995

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