Healthcare Provider Details

I. General information

NPI: 1336657253
Provider Name (Legal Business Name): CLAY CURTIS HANDY III OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 01/31/2024
Certification Date:
Deactivation Date: 01/09/2024
Reactivation Date: 01/30/2024

III. Provider practice location address

501 THOMAS JONES WAY
EXTON PA
19341
US

IV. Provider business mailing address

330 W WALNUT ST APT 2
NORTH WALES PA
19454
US

V. Phone/Fax

Practice location:
  • Phone: 484-873-3700
  • Fax:
Mailing address:
  • Phone: 540-241-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: