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Physical Therapist

OTIS CLARK DPT

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1477864312 · enumerated 2010-06-25 · record updated 2015-01-16. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Mailing address 3250 HARDEN STREET EXT, SUITE 100, COLUMBIA, SC, 29203-6842 (803) 509-6389 Fax (803) 509-6390 Google Maps Apple Maps OpenStreetMap
Practice location 3250 HARDEN STREET EXT, SUITE 100, COLUMBIA, SC, 29203-6842 (803) 509-6389 Fax (803) 509-6390 Google Maps Apple Maps OpenStreetMap

Specialties

Physical Therapist 225100000X · License PT009950 GA
Physical Therapist 225100000X · Primary · License 7643 SC

In this directory

SC Richland County Columbia Physical Therapist

Locations and evidence

Practice location COLUMBIA, SC, 292036842
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.