# CLARENCE ANDREW SIMS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265456735
- **Gender:** Man
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-782 | ID | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 03/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010157662 | BLUE SHIELD PIN | ID |
| 01 | — | 211798 | WA LABOR & INDUSTRY PIN | WA |
| 01 | — | W1219 | BLUE CROSS PIN | ID |