MEDICARE: CLARA ASH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201010119	MI

General Provider Information

NPI Number	:	1316827074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA ASH

Provider Business Mailing Address
First Line	:	10053 FRANCES RD
Second Line	:
City	:	OTISVILLE
State	:	MI
Zip	:	48463-9410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 DEVONSHIRE DR
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2855
Country	:	US
Telephone Number	:	810-245-7646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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Directions to “ CLARA ASH ” Practice Location

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