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1902640717
OLIVIA CLARK
SOUTHLAKE, TX
NPI
1902640717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1362383)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
OLIVIA CLARK DPT
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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Mailing Address
OLIVIA CLARK DPT
180 STATE ST STE 225
SOUTHLAKE, TX 76092-7632
Phone number: 866-839-6979
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