CHARLEY CLARK

SAN ANTONIO, TX
NPI1235714775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  216616)
Enumeration Date2021-03-16
Last Update Date2021-03-16
Business Address
CHARLEY CLARK COTA
9514 CONSOLE DR
SAN ANTONIO, TX 78229-2069
Phone number: 210-448-9111
Mailing Address
CHARLEY CLARK COTA
9514 CONSOLE DR
SAN ANTONIO, TX 78229-2069
Phone number:
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