Individual
CHARISSE DANSEREAU CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
(713) 838-0926
Mailing address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1040517
TX
Other
Enumeration date
01/14/2009
Last updated
12/09/2021
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