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

Melissa Newkam Clark, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1063799682

Melissa Newkam Clark, OTR/L is a Pediatric Occupational Therapist in Braselton, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
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

5745 Old Winder Hwy Ste C
Braselton, GA 30517-1637
Phone: (770) 965-1861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT005376 (GA)

Record details

NPI number1063799682
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011

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