Provider Demographics
NPI:1689887630
Name:CLAPPER, JOAN LOUISE (OTR)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:LOUISE
Last Name:CLAPPER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 SE VERA AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-1221
Mailing Address - Country:US
Mailing Address - Phone:541-730-2812
Mailing Address - Fax:
Practice Address - Street 1:560 SE VERA AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-1221
Practice Address - Country:US
Practice Address - Phone:541-730-2812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR467183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist