NPI 1003136821

Jennifer Bowlin Clark, COTA

Practitioner Occupational Therapy Assistant Bryan, TX

Practice location

Address: 1318 Memorial Dr, Bryan, TX 77802-5215
Phone: (979) 776-2872
Fax: (979) 776-1456
Mailing address: 15166 Yerby Rd, Iola, TX 77861-4321

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 210483 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1003136821
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2010
Record last updated: 15 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.