Individual
CLARENCE R QUAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15476B DEDEAUX RD, GULFPORT, MS 39503-2637
(228) 539-3232
(228) 539-3230
Mailing address
15476B DEDEAUX RD, GULFPORT, MS 39503-2637
(228) 539-3232
(228) 539-3230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5443
MS
Other
Enumeration date
08/26/2015
Last updated
09/28/2015
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