Individual
TYLER A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
552 GOLF LINKS RD, HOT SPRINGS, AR 71901-7917
(501) 624-7149
Mailing address
8 WINONA DR, MAUMELLE, AR 72113-6301
(501) 658-6122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1435
AR
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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