Individual
MRS. CAITLIN JADE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
225 E WARD ST, GOLIAD, TX 77963-4006
(361) 645-8902
(361) 645-8689
Mailing address
301 WOOD BRIDGE, VICTORIA, TX 77904
(361) 649-5979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109586
TX
225200000X
Physical Therapy Assistant
2096023
TX
Other
Enumeration date
08/20/2018
Last updated
07/29/2025
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