Individual
ELIZABETH M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1804
(361) 902-4928
Mailing address
PO BOX 1074, MATHIS, TX 78368-1074
(361) 443-7485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110360
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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