Jeannie Marie Clack, OT
Occupational Therapist in Houston, TX. Individual provider (NPI-1).
NPI number1750453064
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750453064
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jeannie Marie Clack
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 109668 | TX | Yes |
Practice location
8323 Southwest Freeway101
Houston, TX 77074
Phone 713-772-1400 · Fax 713-772-7116
Mailing address
8323 Southwest Freeway101
Houston, TX 77074
Phone 713-772-1400 · Fax 713-772-7116
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