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

Mrs. Jill Page Clark, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1639351448

Mrs. Jill Page Clark, COTA/L is an Occupational Therapy Assistant in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1500 Woodline Dr
Raleigh, NC 27603-5760
Phone: (919) 773-0120
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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 4777 (NC)

Record details

NPI number1639351448
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 4, 2007

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