Individual
MS. PATRICIA ANN CLARKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RECREATION THERAPIST
Contact information
Practice address
2002 HOLCOMBE, MEDVAMC, HOUSTON, TX 77030
(713) 794-1414
Mailing address
7018 MACZALI DRIVE, MISSOURI CITY, TX 77489
(713) 794-1414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0369
TX
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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