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

Wanda Louise Clark, OTA

Individual provider Occupational Therapy Assistant · NPI 1578764056

Wanda Louise Clark, OTA is an Occupational Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1422 San Marco Blvd
Jacksonville, FL 32207-8536
Phone: (904) 306-0177
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA4733 (FL)

Record details

NPI number1578764056
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESJuly 8, 2007

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