MEGAN LATARA CLARK

AUSTIN, TX
NPI1073094371
Former NameMEGAN LATARA BUNTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2142280)
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
MEGAN LATARA CLARK PTA
2410 E RIVERSIDE DR STE B1
AUSTIN, TX 78741-3052
Phone number: 512-394-0652
Mailing Address
MEGAN LATARA CLARK PTA
305 NE LOOP 820 BLDG TOWER1
HURST, TX 76053-7209
Phone number: 817-292-8787
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