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Individual

HAROLD BART CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
103 N 3RD ST, GRANDVIEW, TX 76050-1915
(817) 866-2779
(817) 866-4367
Mailing address
103 N 3RD ST, GRANDVIEW, TX 76050-1915
(817) 866-2779
(817) 866-4367

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106141
TX

Other

Enumeration date
04/10/2007
Last updated
11/23/2009
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