Individual
JOSEPH CLINTON STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3161
Mailing address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102537
TX
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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