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

Theresa Clark, COTA

Individual provider Occupational Therapy Assistant · NPI 1659520799

Theresa Clark, COTA is an Occupational Therapy Assistant in Dyer, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008
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

2300 Great Lakes Dr
Dyer, IN 46311-1917
Phone: (219) 322-3555
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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 32001147A (IN)

Record details

NPI number1659520799
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 12, 2008
Last updated in NPPESSeptember 12, 2008

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