Individual
MR. CLARENCE WILBORN TAPLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1149 N JACKSON ST, HOUSTON, MS 38851-8273
(662) 542-0491
Mailing address
1149 N JACKSON ST, HOUSTON, MS 38851-8273
(662) 542-0491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1029
MS
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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