Individual
ALICIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDT
Contact information
Practice address
25 BRIERCROFT OFFICE PARK, LUBBOCK, TX 79412-3011
(806) 795-7433
(806) 795-7407
Mailing address
4601 66TH STREET, STE D, LUBBOCK, TX 79414
(866) 832-1708
(888) 789-4391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112359
TX
Other
Enumeration date
08/09/2007
Last updated
05/26/2021
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