Individual
MARIE CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 E PAULINE ST, CONROE, TX 77301-2454
(936) 521-3103
Mailing address
25831 DRYBROOK RD, SPRING, TX 77389-3159
(281) 732-8854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547
—
TX
Enumeration date
05/11/2007
Last updated
07/09/2007
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