Individual
JENNIFER BOWLIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1318 MEMORIAL DR, BRYAN, TX 77802-5215
(979) 776-2872
(979) 776-1456
Mailing address
15166 YERBY RD, IOLA, TX 77861-4321
(281) 507-9443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210483
TX
Other
Enumeration date
06/03/2010
Last updated
04/15/2014
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