Individual
MS. JEANNIE MARIE CLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8323 SOUTHWEST FREEWAY, 101, HOUSTON, TX 77074
(713) 772-1400
(713) 772-7116
Mailing address
8323 SOUTHWEST FREEWAY, 101, HOUSTON, TX 77074
(713) 772-1400
(713) 772-7116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109668
TX
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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