# MR. CLARENCE LOTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093524571
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 6843 | TX | Yes |
| 224ZR0403X | Driving and Community Mobility Occupational Therapy Assistant | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 01/09/2025