Provider Demographics
NPI:1952758575
Name:JOAN CLAPPER OT INC
Entity Type:Organization
Organization Name:JOAN CLAPPER OT INC
Other - Org Name:MOVEMENTWISE MOVEMENT EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:541-730-2812
Mailing Address - Street 1:408 SW MONROE AVE
Mailing Address - Street 2:SUITE M230
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333
Mailing Address - Country:US
Mailing Address - Phone:541-730-2812
Mailing Address - Fax:541-727-0959
Practice Address - Street 1:408 SW MONROE AVE
Practice Address - Street 2:SUITE M230
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333
Practice Address - Country:US
Practice Address - Phone:541-730-2812
Practice Address - Fax:541-727-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation