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

Individual provider Occupational Therapist · NPI 1023773447

Macy Fraser Clark, OTR is an Occupational Therapist in San Clemente, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1000 Calle Amanecer
San Clemente, CA 92673-6214
Phone: (949) 498-5100
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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 10258 (CA)

Record details

NPI number1023773447
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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